PMK No 76 ttg Pedoman INA CBG Dalam

PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR 76 TAHUN 2016 TENTANG PEDOMAN INDONESIAN CASE BASE GROUPS (INA-CBG) DALAM PELAKSANAAN JAMINAN KESEHATAN NASIONAL DENGAN RAHMAT TUHAN YANG MAHA ESA MENTERI KESEHATAN REPUBLIK INDONESIA,

Menimbang

:

a.

bahwa dalam rangka pelaksanaan Jaminan Kesehatan dalam Sistem Jaminan Sosial Nasional telah ditetapkan tarif

pelayanan

kesehatan

pada

fasilitas

kesehatan

tingkat pertama dan fasilitas kesehatan tingkat lanjutan; b.

bahwa Peraturan Menteri Kesehatan Nomor 27 Tahun 2014 tentang Petunjuk Teknis Sistem Indonesian Case Base

Groups

(INA-BG’s)

perlu

disesuaikan

dengan

perkembangan dan kebutuhan pelayanan kesehatan di Fasilitas Kesehatan Tingkat Lanjutan, sehingga perlu disempurnakan; c.

bahwa

berdasarkan

pertimbangan

sebagaimana

dimaksud dalam huruf a dan huruf b, perlu menetapkan Peraturan

Menteri

Indonesian

Case

Kesehatan Base

Groups

tentang

Pedoman

(INA-CBG)

Pelaksanaan Jaminan Kesehatan Nasional;

dalam

-2-

Mengingat

: 1.

Undang-Undang Nomor 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional (Lembaran Negara Republik Indonesia Tahun 2004 Nomor 150, Tambahan Lembaran Negara Republik Indonesia Nomor 4456);

2.

Undang-Undang

Nomor

36

Tahun

2009

tentang

Kesehatan (Lembaran Negara Republik Indonesia Tahun 2009 Nomor 144, Tambahan Lembaran Negara Republik Indonesia Nomor 5063); 3.

Undang-Undang Nomor 24 Tahun 2011 tentang Badan Penyelenggara

Jaminan

Sosial

(Lembaran

Negara

Republik Indonesia Tahun 2011 Nomor 116, Tambahan Lembaran Negara Republik Indonesia Nomor 5256); 4.

Peraturan Presiden Nomor 12 Tahun 2013 tentang Jaminan

Kesehatan

(Lembaran

Negara

Republik

Indonesia Tahun 2013 Nomor 29) sebagaimana telah beberapa

kali

diubah,

terakhir

dengan

Peraturan

Presiden Nomor 28 Tahun 2016 tentang Perubahan Ketiga atas Peraturan Presiden Nomor 12 Tahun 2013 tentang Jaminan Kesehatan (Lembaran Negara Republik Indonesia Tahun 2016 Nomor 62); 5.

Peraturan Menteri Kesehatan Nomor 52 Tahun 2016 tentang

Standar

Tarif

Pelayanan

Kesehatan

dalam

Penyelenggaraan Program Jaminan Kesehatan (Berita Negara Republik Indonesia Tahun 2016 Nomor

1601)

sebagaimana telah diubah dengan Peraturan Menteri Kesehatan Nomor 64 Tahun 2016 tentang Perubahan atas Peraturan Menteri Kesehatan Nomor 52 Tahun 2016 tentang

Standar

Tarif

Pelayanan

Kesehatan

dalam

Penyelenggaraan Program Jaminan Kesehatan (Berita Negara Republik Indonesia Tahun 2016 Nomor 1790); MEMUTUSKAN : Menetapkan

: PERATURAN MENTERI KESEHATAN TENTANG PEDOMAN INDONESIAN

CASE

BASE

GROUPS

(INA-CBG)

PELAKSANAAN JAMINAN KESEHATAN NASIONAL.

DALAM

-3-

Pasal 1 Pedoman Indonesian Case Base Groups (INA-CBG) dalam Pelaksanaan Jaminan Kesehatan Nasional merupakan acuan bagi fasilitas kesehatan tingkat lanjutan, Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan, dan pihak lain yang terkait mengenai

metode

pembayaran

INA-CBG

dalam

penyelenggaraan Jaminan Kesehatan. Pasal 2 Pedoman Indonesian Case Base Groups (INA-CBG) dalam Pelaksanaan

Jaminan

Kesehatan

Nasional

sebagaimana

dimaksud dalam Pasal 1 tercantum dalam Lampiran yang merupakan bagian tidak terpisahkan dari Peraturan Menteri ini. Pasal 3 Pada saat Peraturan Menteri ini mulai berlaku, Peraturan Menteri Kesehatan Nomor 27 Tahun 2014 tentang Petunjuk Teknis Sistem Indonesian Case Base Groups (INA-BG’s) (Berita Negara Republik Indonesia Tahun 2014 Nomor 795), dicabut dan dinyatakan tidak berlaku. Pasal 4 Peraturan

Menteri

ini

mulai

berlaku

pada

tanggal

diundangkan dan mempunyai daya laku surut sejak tanggal 26 Oktober 2016.

-4-

Agar

setiap

orang

mengetahuinya,

memerintahkan

pengundangan Peraturan Menteri ini dengan penempatannya dalam Berita Negara Republik Indonesia.

Ditetapkan di Jakarta pada tanggal 27 Desember 2016 MENTERI KESEHATAN REPUBLIK INDONESIA, ttd NILA FARID MOELOEK Diundangkan di Jakarta pada tanggal 10 Januari 2017 DIREKTUR JENDERAL PERATURAN PERUNDANG-UNDANGAN KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA REPUBLIK INDONESIA, ttd WIDODO EKATJAHJANA

BERITA NEGARA REPUBLIK INDONESIA TAHUN 2017 NOMOR 92 Telah diperiksa dan disetujui: Kepala Biro Hukum dan

Kepala Pusat Pembiayaan

Sekretaris Jenderal

Organisasi

dan Jaminan Kesehatan

Kementerian Kesehatan

Tanggal

Tanggal

Tanggal

Paraf

Paraf

Paraf

-5-

LAMPIRAN PERATURAN MENTERI KESEHATAN NOMOR 76 TAHUN 2016 TENTANG PEDOMAN INDONESIAN CASE BASE GROUPS (INA-CBG) DALAM PELAKSANAAN JAMINAN KESEHATAN NASIONAL PEDOMAN INDONESIAN CASE BASE GROUPS (INA-CBG) DALAM PELAKSANAAN JAMINAN KESEHATAN NASIONAL BAB I PENDAHULUAN A.

Latar Belakang Pembiayaan kesehatan merupakan bagian yang penting dalam implementasi Jaminan Kesehatan Nasional (JKN). Pembiayaan kesehatan di fasilitas kesehatan diperoleh dengan dilakukannya pembayaran oleh penyelenggara

asuransi

kesehatan

atas

pelayanan

kesehatan

yang

diberikan kepada peserta, yang bertujuan untuk mendorong peningkatan mutu, mendorong layanan berorientasi pasien, mendorong efisiensi dengan tidak memberikan reward terhadap provider yang melakukan over treatment, under treatment maupun melakukan adverse event dan mendorong pelayanan tim. Dengan sistem pembiayaan yang tepat diharapkan tujuan diatas bisa tercapai. Terdapat dua metode pembayaran rumah sakit yang digunakan yaitu metode pembayaran retrospektif dan metode pembayaran prospektif. Metode

pembayaran

retrospektif

adalah

metode

pembayaran

yang

dilakukan atas layanan kesehatan yang diberikan kepada pasien berdasar pada setiap aktifitas layanan yang diberikan, semakin banyak layanan kesehatan yang diberikan semakin besar biaya yang harus dibayarkan. Contoh pola pembayaran retrospektif adalah Fee For Services (FFS). Metode

pembayaran

prospektif

adalah

metode

pembayaran

yang

dilakukan atas layanan kesehatan yang besarannya sudah diketahui sebelum pelayanan kesehatan diberikan. Contoh pembayaran prospektif adalah global budget, perdiem, kapitasi dan case based payment.

-6-

Tidak ada satupun sistem pembiayaan yang sempurna, setiap sistem pembiayaan

memiliki

kelebihan

dan

kekurangan.

Berikut

tabel

perbandingan kelebihan sistem pembayaran prospektif dan retrospektif. Tabel 1.Kelebihan dan Kekurangan Metode Pembayaran Prospektif PIHAK

Provider

KELEBIHAN Pembayaran lebih adil sesuai

Kurangnya kualitas Koding

dengan kompleksitas

akan menyebabkan

pelayanan

ketidaksesuaian proses

Proses Klaim Lebih Cepat Kualitas Pelayanan baik Pasien

KEKURANGAN

grouping (pengelompokan kasus) Pengurangan Kuantitas Pelayanan

Dapat memilih Provider

Provider merujuk ke luar / RS

dengan pelayanan terbaik

lain

Terdapat pembagian resiko keuangan dengan provider

Memerlukan pemahaman mengenai konsep prospektif dalam implementasinya

Pembayar Biaya administrasi lebih rendah

Memerlukan monitoring Pasca

Mendorong peningkatan

Klaim

sistem informasi Tabel 2. Kelebihan dan Kekurangan Metode Pembayaran Retrospektif PIHAK

KELEBIHAN Risiko keuangan sangat kecil

Provider

pendapatan Rumah Sakit tidak terbatas Waktu tunggu yang lebih singkat

Pasien

Lebih mudah mendapat pelayanan dengan teknologi terbaru

Pembayar

Mudah mencapai kesepakatan dengan provider

KEKURANGAN Tidak ada insentif untuk yang memberikan Preventif Care "Supplier induced-demand" Jumlah pasien di klinik sangat banyak "Overcrowded clinics" Kualitas pelayanan kurang Biaya administrasi tinggi untuk proses klaim meningkatkan risiko keuangan

-7-

Sistem casemix pertama kali dikembangkan di Indonesia pada Tahun 2006 dengan nama INA-DRG (Indonesia- Diagnosis Related Group). Implementasi pembayaran dengan INA-DRG dimulai pada 1 September 2008 di 15 rumah sakit milik Kementerian Kesehatan RI, dan pada 1 Januari 2009 diperluas untuk seluruh rumah sakit yang bekerja sama menjadi penyedia pelayanan kesehatan dalam program Jamkesmas. Pada tanggal 31 September 2010 dilakukan perubahan nomenklatur dari INADRG (Indonesia Diagnosis Related Group) menjadi INA-CBG (Indonesia Case Based Group) seiring dengan perubahan grouper dari 3M Grouper ke

UNU

(United

Nation

University)

Grouper.

Kemudian,

dengan

implementasi Jaminan Kesehatan Nasional (JKN) yang dimulai 1 Januari 2014, sistem INA-CBG kembali digunakan sebagai metode pembayaran pelayanan baik rawat jalan maupun rawat inap kepada Fasilitas Kesehatan Rujukan Tingkat Lanjut (FKRTL). B.

Tujuan Tujuan dari Sistem pembiayaan prospektif adalah : 1.

mengendalikan biaya kesehatan

2.

mendorong pelayanan kesehatan tetap bermutu sesuai standar

3.

membatasi pelayanan kesehatan yang tidak diperlukan

4.

mempermudah administrasi klaim

5.

mendorong

provider

untuk

melakukan

kendali

biaya

(cost

containment) C.

Pengertian Di Indonesia, metode pembayaran prospektif dikenal dengan case based payment (casemix), dan sudah diterapkan sejak Tahun 2008 sebagai

metode

Masyarakat

pembayaran

(Jamkesmas).

pada

Sistem

program

casemix

Jaminan

adalah

Kesehatan

pengelompokan

diagnosis dan prosedur dengan mengacu pada ciri klinis yang mirip/sama dan

penggunaan

sumber

daya/biaya

perawatan

yang

mirip/sama.

Pengelompokan dilakukan dengan menggunakan software grouper. Sistem casemix saat ini banyak digunakan sebagai dasar sistem pembayaran kesehatan di negara-negara maju dan sedang dikembangkan di negaranegara berkembang.

-8-

Beberapa

pengertian

terkait

sistem

INA-CBG

sebagai

metode

pembayaran kepada FKRTL dalam pelaksanaan JKN : 1.

Jaminan Kesehatan adalah jaminan berupa perlindungan kesehatan agar peserta memperoleh manfaat pemeliharaan kesehatan dan perlindungan dalam memenuhi kebutuhan dasar kesehatan yang diberikan kepada setiap orang yang telah membayar iuran atau iurannya dibayarkan oleh pemerintah.

2.

Badan Penyelenggara Jaminan Sosial Kesehatan yang selanjutnya disingkat BPJS Kesehatan adalah badan hukum yang dibentuk untuk menyelenggarakan program Jaminan Kesehatan.

3.

Penyelenggara

pelayanan

kesehatan

meliputi

semua

Fasilitas

Kesehatan yang bekerja sama dengan BPJS Kesehatan berupa Fasilitas Kesehatan tingkat pertama dan Fasilitas Kesehatan rujukan tingkat lanjutan. 4.

Fasilitas Kesehatan adalah fasilitas pelayanan kesehatan yang digunakan untuk menyelenggarakan upaya pelayanan kesehatan perorangan, baik promotif, preventif, kuratif maupun rehabilitatif yang dilakukan oleh Pemerintah, Pemerintah Daerah, dan/atau Masyarakat.

5.

Fasilitas Kesehatan Rujukan Tingkat Lanjutan (FKRTL) meliputi klinik utama atau yang setara, rumah sakit umum dan rumah sakit khusus.

6.

Pelayanan Kesehatan Rujukan Tingkat Lanjutan adalah upaya pelayanan kesehatan perorangan yang bersifat spesialistik atau sub spesialistik yang meliputi rawat jalan tingkat lanjutan, rawat inap tingkat lanjutan, dan rawat inap di ruang perawatan khusus.

7.

Pelayanan Kesehatan Darurat Medis adalah pelayanan kesehatan yang

harus

diberikan

secepatnya

untuk

mencegah

kematian,

keparahan, dan/atau kecacatan sesuai dengan kemampuan fasilitas kesehatan. 8.

Pelayanan Kesehatan adalah pelayanan kesehatan komprehensif yang meliputi pelayanan kesehatan promotif, preventif, kuratif, rehabilitatif,

pelayanan

kesehatan

darurat

penunjang dan atau pelayanan kefarmasian.

medis,

pelayanan

-9-

9.

Pelayanan rawat inap adalah pelayanan kepada pasien untuk observasi, perawatan, diagnosis, pengobatan, rehabilitasi, dan/atau pelayanan kesehatan lainnya dengan menempati tempat tidur.

10. Sumber daya adalah segala dukungan berupa material, tenaga, pengetahuan, teknologi dan/atau dukungan lainnya yang digunakan untuk menghasilkan manfaat dalam pelayanan kesehatan.

-10-

BAB II PENYELENGGARAAN PEMBAYARAN INA-CBG A.

Ketentuan Umum Dalam pelaksanaan JKN, sistem INA-CBG merupakan salah satu instrumen penting dalam pengajuan dan pembayaran klaim pembayaran pelayanan kesehatan yang telah dilaksanakan oleh FKRTL yang telah bekerjasama dengan BPJS Kesehatan, maka pihak manajemen maupun fungsional

di

setiap

FKRTL

tersebut

perlu

memahami

konsep

implementasi INA-CBG dalam program JKN. Sistem INA-CBG terdiri dari beberapa komponen yang saling terkait satu sama lain. Komponen yang berhubungan langsung dengan output pelayanan adalah clinical pathway, koding dan teknologi informasi, sedangkan secara terpisah terdapat komponen kosting yang secara tidak langsung mempengaruhi proses penyusunan tarif INA-CBG untuk setiap kelompok kasus. B.

Struktur Kode INA-CBG Dasar

pengelompokan

dalam

INA-CBG

menggunakan

sistem

kodifikasi dari diagnosis akhir dan tindakan/prosedur yang menjadi output pelayanan, dengan acuan ICD-10 Revisi Tahun 2010 untuk diagnosis dan ICD-9-CM Revisi Tahun 2010 untuk tindakan/prosedur. Pengelompokan menggunakan sistem teknologi informasi berupa Aplikasi INA-CBG sehingga dihasilkan 1.075 Group/Kelompok Kasus yang terdiri dari 786 kelompok kasus rawat inap dan 289 kelompok kasus rawat jalan. Setiap group dilambangkan dengan kode kombinasi alfabet dan numerik dengan contoh sebagai berikut : Gambar 1 Struktur Kode INA-CBG

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Keterangan : 1.

Digit ke-1 (alfabetik) : menggambarkan kode CMG (Casemix Main Groups)

2.

Digit ke-2 (numerik) : menggambarkan tipe kelompok kasus (Case Groups)

3.

Digit ke-3 (numerik) : menggambarkan spesifikasi kelompok kasus

4.

Digit ke-4 (romawi): menggambarkan tingkat keparahan kelompok kasus

Struktur Kode INA-CBG terdiri atas : 1.

Case-Mix Main Groups (CMG) Adalah klasifikasi tahap pertama yang dilabelkan dengan huruf Alphabet (A sampai Z) yang di sesuaikan dengan ICD 10 untuk setiap sistem organ tubuh manusia. Terdapat 29 CMG dalam INA-CBG yaitu : Tabel 3. Casemix Main Groups (CMG) NO

Deskripsi Kode CMG

Kode CMG

1

Central nervous system Groups

G

2

Eye and Adnexa Groups

H

3

Ear, nose, mouth & throat Groups

U

4

Respiratory system Groups

J

5

Cardiovascular system Groups

I

6

Digestive system Groups

K

7

Hepatobiliary & pancreatic system Groups

B

8 9 10

Musculoskeletal system & connective tissue Groups Skin, subcutaneous tissue & breast Groups Endocrine system, nutrition & metabolism Groups

M L E

11

Nephro-urinary System Groups

N

12

Male reproductive System Groups

V

13

Female reproductive system Groups

W

14

Deleiveries Groups

O

15

Newborns & Neonates Groups

P

16

Haemopoeitic & immune system Groups

D

-12-

NO 17

Myeloproliferative system & neoplasms Groups

Kode CMG C

18

Infectious & parasitic diseases Groups

A

19

Mental Health and Behavioral Groups

F

20

Substance abuse & dependence Groups

T

21 22

2.

Deskripsi Kode CMG

Injuries, poisonings & toxic effects of drugs Groups Factors influencing health status & other contacts with health services Groups

S Z

23

Sub-Acute Groups

SF

24

Special Procedures

YY

25

Special Drugs

DD

26

Special Investigations

27

Special Prosthesis

RR

28

Chronic Groups

CF

29

Errors CMGs

II

X

Case Group Adalah sub-group kedua yang menunjukkan spesifikasi atau tipe kelompok kasus, yang dilabelkan dengan angka 1 (satu) sampai dengan 9 (sembilan). Tabel 4. Group Tipe Kasus dalam INA-CBG GRUP

TIPE KASUS

1

Prosedur Rawat Inap

2

Prosedur Besar Rawat Jalan

3

Prosedur Signifikan Rawat Jalan

4

Rawat Inap Bukan Prosedur

5

Rawat Jalan Bukan Prosedur

6

Rawat Inap Kebidanan

7

Rawat Jalan kebidanan

8

Rawat Inap Neonatal

9

Rawat Jalan Neonatal

0

Error

-13-

3.

Case Type Adalah sub-group ketiga yang menunjukkan spesifik CBGs yang dilambangkan dengan numerik mulai dari 01 sampai dengan 99.

4.

Severity Level Adalah sub-group keempat yang menggambarkan tingkat keparahan kasus yang dipengaruhi adanya komorbiditas ataupun komplikasi dalam masa perawatan. Keparahan kasus dalam INA-CBG terbagi menjadi : a.

“0” - untuk rawat jalan

b.

“I” - Ringan” untuk rawat inap dengan tingkat keparahan 1 (tanpa komplikasi maupun komorbiditi)

c.

“II” - Sedang” untuk rawat inap dengan tingkat keparahan 2 (dengan mild komplikasi dan komorbiditi)

d.

“III” - Berat” untuk rawat inap dengan tingkat keparahan 3 (dengan major komplikasi dan komorbiditi) Tabel 5. Contoh kode INA-CBG

Tipe

Kode

Layanan

INA-CBG

Deskripsi Kode INA-CBG

I – 4 – 10 – I

Infark Miocard Akut (Ringan)

I – 4 – 10 – II

Infark Miocard Akut (Sedang)

I – 4 – 10 – III

Infark Miocard Akut (Berat)

Rawat

Q – 5 – 18 – 0

Konsultasi atau pemeriksaan lain-lain

Jalan

Q – 5 – 35 – 0

Infeksi Akut

Rawat Inap

Istilah ringan, sedang dan berat dalam deskripsi dari Kode INA-CBG bukan menggambarkan kondisi klinis pasien maupun diagnosis atau prosedur namun menggambarkan tingkat keparahan (severity level) yang dipengaruhi oleh diagnosis sekunder (komplikasi dan ko-morbiditi). C.

Tarif INA-CBG Tarif

INA-CBG

merupakan

tarif

paket

yang

meliputi

seluruh

komponen sumber daya rumah sakit yang digunakan dalam pelayanan baik medis maupun non-medis. Penghitungan tarif INA-CBG berbasis pada data costing dan data koding

rumah sakit. Data costing

merupakan data

biaya yang

-14-

dikeluarkan oleh rumah sakit baik operasional maupun investasi, yang didapatkan dari rumah sakit terpilih yang menjadi representasi rumah sakit. Sedangkan data koding diperoleh dari data klaim JKN. Tarif INA-CBG yang digunakan dalam program Jaminan Kesehatan Nasional (JKN) diberlakukan berdasarkan Peraturan Menteri Kesehatan, dengan beberapa prinsip sebagai berikut : 1.

Pengelompokan Tarif INA-CBG Pengelompokan tarif INA-CBG dilakukan berdasarkan penyesuaian setelah melihat besaran Hospital Base Rate (HBR) yang didapatkan dari perhitungan total biaya dari sejumlah rumah sakit. Apabila dalam satu kelompok terdapat lebih dari satu rumah sakit, maka digunakan Mean Base Rate. Berikut adalah kelompok Tarif INA-CBG tahun 2016 : a.

Tarif

Rumah

Sakit

Umum

Pusat

Nasional

Dr.

Cipto

Mangunkusumo b.

Tarif Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita, Rumah Sakit Anak dan Bunda Harapan Kita, dan Rumah Sakit Kanker Dharmais

c.

Tarif Rumah Sakit Pemerintah dan Swasta Kelas A

d.

Tarif Rumah Sakit Pemerintah dan Swasta Kelas B

e.

Tarif Rumah Sakit Pemerintah dan Swasta Kelas C

f.

Tarif Rumah Sakit Pemerintah dan Swasta Kelas D

Untuk Rumah Sakit yang belum memiliki penetapan kelas serta FKRTL selain rumah sakit, maka tarif INA-CBG yang digunakan setara

dengan

kelompok

tarif

Rumah

Sakit

Kelas

D

sesuai

regionalisasi masing-masing. 2.

RS Khusus Rumah

Sakit

Khusus

adalah

rumah

sakit

yang

memberikan

pelayanan utama pada satu bidang atau satu jenis penyakit tertentu berdasarkan disiplin ilmu, golongan umur, organ, jenis penyakit atau kekhususan lainnya. Dalam program JKN, berlaku perbedaan pembayaran kepada RS Khusus untuk pelayanan yang sesuai kekhususannya dan pelayanan di luar kekhususannya, dimana :

-15-

a.

Untuk pelayanan di luar kekhususan yang diberikan oleh Rumah Sakit Jantung dan

Pembuluh

Darah

Harapan Kita,

Rumah Sakit Kanker Dharmais, berlaku kelompok tarif INACBG Rumah Sakit Pemerintah kelas A. b.

Untuk pelayanan yang diberikan oleh rumah sakit khusus di luar kekhususannya, berlaku kelompok tarif INA-CBG satu tingkat lebih rendah dari kelas rumah sakit yang ditetapkan.

Dalam implementasi INA-CBG, yang dinyatakan sebagai pelayanan sesuai kekhususannya adalah jika kode diagnosis utama sesuai dengan kekhususan rumah sakit. Dalam hal kode diagnosis yang sesuai kekhususannya merupakan kode asterisk dan diinput sebagai diagnosis sekunder maka termasuk ke dalam pelayanan sesuai kekhususannya. Daftar

kode

diagnosis

untuk

pelayanan

yang

sesuai

dengan

kekhususan rumah sakit, sebagaimana terlampir. Contoh 1 : RS Jiwa ABC, status kepemilikan RS adalah pemerintah, dengan Penetapan kelas RS adalah kelas A. 1) Pasien 1 Diagnosis Utama

: Schizoprenia Paranoid (F20.0)

Diagnosis Sekunder

: Thypoid Fever (A01.0)

Maka, pengajuan klaim pasien 1 menggunakan Tarif Rumah Sakit Pemerintah Kelas A 2) Pasien 2 Diagnosis Utama


Diagnosis Sekunder

: Schizoprenia Paranoid (F20.0)

Maka, pengajuan klaim pasien 2 menggunakan Tarif Rumah Sakit Pemerintah Kelas B 3) Pasien 3 Diagnosis Utama


Diagnosis Sekunder

:-

Maka, pengajuan klaim pasien 3 menggunakan Tarif Rumah Sakit Pemerintah Kelas B

-16-

Contoh 2 : RS Jiwa XYZ, status kepemilikan RS adalah pemerintah, dengan Penetapan kelas RS adalah kelas B. Diagnosis Utama

: Demensia pada Alzheimer’s

Diagnosis Sekunder : Dikode G30.9† sebagai diagnosis utama dan F00.9* sebagai diagnosis sekunder. Tanda dagger (†) dan asterisk (*) tidak diinput ke dalam aplikasi INA-CBG. Maka, pengajuan klaim menggunakan Tarif Rumah Sakit Pemerintah Kelas B Pemerintah. Dalam peraturan Menteri ini, daftar kode diagnosis untuk pelayanan

yang

sesuai

dengan

kekhususan

rumah

sakit,

diperuntukkan bagi: 1. RS Khusus Kanker 2. RS Khusus Jantung dan Pembuluh Darah 3. RS Khusus Jiwa 4. RS Khusus Paru 5. RS Khusus Kusta 6. RS Khusus Ortopedi 7. RS Khusus Mata 8. RS Khusus Telinga, Hidung, dan Tenggorokan (THT) 9. RS Khusus Gigi dan Mulut Daftar kode diagnosis untuk pelayanan yang sesuai dengan kekhususan rumah sakit, sebagaimana terlampir. Selain RS Khusus tersebut di atas, berlaku kelompok tarif INACBG sesuai dengan kelas rumah sakit yang ditetapkan untuk pelayanan sesuai kekhususan dan diluar kekhususan. 3.

Pembayaran Tambahan (Top Up) Terdapat pembayaran tambahan (Top Up) dalam sistem INA-CBG untuk kasus–kasus tertentu yang masuk dalam Special CMG, meliputi : a.

Special Procedure

b.

Special Drugs

-17-

c.

Special Investigation

d.

Special Prosthesis

e.

Subacute cases

f.

Chronic cases Special CMG atau special group pada tarif INA-CBG saat ini

dibuat untuk mengurangi resiko keuangan rumah sakit. Top up pada special

CMG

diberikan

untuk

beberapa

obat,

alat,

prosedur,

pemeriksaan penunjang serta beberapa kasus penyakit subakut dan kronis. Besaran nilai pada tarif special CMG tidak dimaksudkan untuk mengganti biaya yang keluar dari alat, bahan atau kegiatan yang

diberikan

kepada

pasien,

namun

merupakan

tambahan

terhadap tarif dasarnya. Special CMG untuk Special Drugs, Prosthesis, Procedures, dan Investigations Tabel 6. Daftar Special CMG KODE NO SPECIAL CMG

DESKRIPSI SPECIAL CMG

KODE

KODE

KODE

GROUP

DIAGNOSIS

PROSEDUR

INA-CBG

(ICD 10)

(ICD-9-CM)

I-4-10-I 1

DD-01-I

Streptokinase

I-4-10-II I-4-10-III

2

3

4

5

DD-02-II

DD-03-II

DD-04-II

DD-05-II

Deferiprone (Rawat Inap) Deferoksamin (Rawat Inap) Deferasirox (Rawat Inap) Human Albumin for Septicaemia

I21.0, I21.1, I21.2, I21.3, I21.4, I21.9,

-

I23.3

D-4-13-I D-4-13-II

D56.1

-

D56.1

-

D56.1

-

D-4-13-III D-4-13-I D-4-13-II D-4-13-III D-4-13-I D-4-13-II D-4-13-III A-4-10-I

A02.1,

A-4-10-II

A20.7,

A-4-10-III

A22.7,

-

-18-

KODE NO SPECIAL


CMG

KODE

KODE

KODE

GROUP

DIAGNOSIS

PROSEDUR

INA-CBG

(ICD 10)

(ICD-9-CM)

A39.1, A39.2, A39.3, A39.4, A39.8, A39.9, A40.0, A40.1, A40.2, A40.3, A40.8, A40.9, A41.0, A41.1, A41.2, A41.3, A41.4, A41.5, A41.8, A41.9, A42.7, B37.7, R57.1 6

DD-06-II

Anti Hemofilia Factor

D-4-11-I

D66, D67

-

7

DD-07-II

Deferiprone

Q-5-44-0

D56.1

-

8

DD-08-II

Deferoksamin

Q-5-44-0

D56.1

-

9

DD-09-II

Deferasirox

Q-5-44-0

D56.1

-

10

DD-10-II

Anti Hemofilia Factor

Q-5-44-0

D66, D67 T20.3, T20.7,

11

DD-11-II

Human Albumin for Burn

S-4-16-I S-4-16-II S-4-16-III

T21.3, T21.7, T22.3, T22.7, T23.3, T23.7, T24.3, T24.7, T25.3, T25.7,

-

-19-

KODE NO SPECIAL


CMG

KODE

KODE

KODE

GROUP

DIAGNOSIS

PROSEDUR

INA-CBG

(ICD 10)

(ICD-9-CM)

T29.3, T29.7, T31.4, T31.5, T31.6, T31.7, T31.8, T31.9, T32.4, T32.5, T32.6, T32.7, T32.8, T32.9 85.82, 85.83, 85.84, T20.3, T20.7, T21.3, T21.7, T22.3, T22.7, T23.3, T23.7, T24.3, T24.7, 12

DD-11-II

Human Albumin for Burn

L-1-20-I

T25.3, T25.7,

L-1-20-II

T29.3, T29.7,

L-1-20-III

T31.4, T31.5, T31.6, T31.7, T31.8, T31.9, T32.4, T32.5, T32.6, T32.7, T32.8, T32.9

85.85, 86.60, 86.61, 86.62, 86.63, 86.65, 86.66, 86.67, 86.69, 86.70, 86.71, 86.72, 86.73, 86.74, 86.75, 86.91, 86.93

13

RR-01-II

Subdural Grid Electrode

G-1-10-I G-1-10-II

-

02.93

-

35.81

G-1-10-III I-1-03-I

14

RR-02-II

Cote Graft

I-1-03-II I-1-03-III

-20-

KODE NO SPECIAL


CMG

KODE

KODE

KODE

GROUP

DIAGNOSIS

PROSEDUR

INA-CBG

(ICD 10)

(ICD-9-CM)

M-1-60-I 15

RR-03-III TMJ Prothesis

M-1-60-II

-

76.5

M-1-60-III 81.51, 16

RR-04-III

Hip Implant/Knee Implant

M-1-04-I M-1-04-II

81.52, -

M-1-04-III

81.53, 81.54, 81.55

I-1-20-I 17

RR-05-III Prostesis Evar/Tevar

I-1-20-II

-

I-1-20-III

39.71, 39.73 81.51,

18

YY-01-II

Hip Replacement/Knee Replacement

M-1-04-I M-1-04-II

81.52, -

M-1-04-III

81.53, 81.54, 81.55

I-1-40-I 19

YY-02-III

PCI

I-1-40-II

-

I-1-40-III

36.06, 36.07 11.60, 11.61,

H-1-30-I 20

YY-03-III

Keratoplasty

H-1-30-II

-

H-1-30-III

11.62, 11.63, 11.64, 11.69 52.51,

B-1-10-I 21

YY-04-III

Pancreatectomy

B-1-10-II

-

B-1-10-III

22

YY-05-III

Repair of Septal Defect

I-1-06-I

of Heart with

I-1-06-II

Prosthesis

I-1-06-III

52.52, 52.53, 52.59, 52.6 35.50,

-

35.51, 35.52, 35.53,

-21-

KODE NO SPECIAL CMG


KODE

KODE

KODE

GROUP

DIAGNOSIS

PROSEDUR

INA-CBG

(ICD 10)

(ICD-9-CM) 35.55 92.21, 92.22, 92.23, 92.24, 92.25,

23

YY-06-III

Stereotactic Surgery & Radiotheraphy

92.26,

C-4-12-I C-4-12-II

Z51.0

C-4-12-III

92.27, 92.28, 92.29, 92.30, 92.31, 92.32, 92.33, 92.39

J-1-30-I 24

YY-07-III

Torakotomi

J-1-30-II

-

J-1-30-III J-1-10-I 25

YY-08-III

Lobektomi/Bilobektomi J-1-10-II

-

J-1-10-III

YY-09-III

Vitrectomy

H-1-30-II

-

H-1-30-III 27

YY-10-III

Phacoemulsification

H-2-36-0

34.03 32.41, 32.49 14.71,

H-1-30-I 26

34.02,

14.72, 14.73, 14.74

-

13.41 31.41,

28

YY-11-III

Microlaringoscopy

J-3-15-0

-

31.42, 31.44 51.10,

29

YY-12-III

Cholangiograph

B-3-11-0

-

51.11, 51.14, 51.15,

-22-

KODE NO SPECIAL


CMG

KODE

KODE

KODE

GROUP

DIAGNOSIS

PROSEDUR

INA-CBG

(ICD 10)

(ICD-9-CM) 52.13

30

II-01-III

Nuclear Medicine

Z-3-17-0

31

II-02-III

MRI

Z-3-16-0

-

92.05, 92.15

-

88.92, 88.93, 88.97

Diagnostic and 32

II-03-III

Imaging Procedure of

H-3-13-0

95.12

Eye Special CMG untuk Subacute dan Chronic Special CMG subakut dan kronis diperuntukkan untuk kasus-kasus Psikiatri dan Kusta dengan ketentuan lama hari rawat (LOS) di FKRTL sebagai berikut : Fase Akut

: 1 sampai dengan 42 Hari

Fase Subakut


Fase Kronis


Dalam hal pasien mendapatkan perawatan lebih dari 180 hari, maka diklaimkan satu episode dengan fase kronis. Special CMG subakut dan kronis berlaku di semua FKRTL yang memiliki pelayanan psikiatri dan kusta serta memenuhi kriteria lama hari rawat sesuai ketentuan diatas. Penghitungan tarif special CMG subakut dan kronis menggunakan rumus sebagai berikut : Fase Akut

: Tarif Paket INA-CBG

Fase Subakut

: Tarif Paket INA-CBG + Tarif Subakut

Fase Kronis

: Tarif Paket INA-CBG + Tarif Subakut + Tarif Kronis

Perangkat yang akan digunakan untuk melakukan penilaian pasien subakut dan kronis dengan menggunakan WHO-DAS (WHO – Disability Assesment Schedule) versi 2.0 yaitu instrumen yang digunakan untuk mengukur disabilitas. Instrumen ini dikembangkan oleh Tim Klasifikasi, Terminologi, dan standar WHO di bawah The WHO/National Institutes of Health (NIH) Joint Projecton Assesment of Classification of Disability. Dalam konteks INA-CBG :

-23-

1) Versi yang digunakan adalah versi 2.0, yang mengandung 12 (duabelas) variabel penilaian (s1-s12) dengan skala penilaian 1 (satu) sampai dengan 5 (lima), sehingga total skor maksimal 60 (enam puluh) 2) Tidak digunakan sebagai dasar untuk pemulangan pasien tetapi sebagai dasar untuk menghitung Resource Intensity Weight (RIW) pada fase subakut dan kronis bagi pasien psikiatri dan pasien kusta 3) Penilaian/assessment dilaksanakan pada awal fase subakut (hari ke-43) dan awal fase kronis (hari ke-104) yang dihitung sejak hari pertama pasien masuk. 4) Penilaian dilakukan dengan metode wawancara langsung (interview) dan/atau observasi oleh psikiater atau dokter ahli lainnya, dokter umum, maupun perawat yang terlatih. 5) Lembar

penilaian

ditandatangani

oleh

Dokter

Penanggung

Jawab

Pelayanan (DPJP) dengan mencantumkan nama jelas (Perangkat WHODAS terlampir) 6) Salinan lembar hasil scoring WHO-DAS yang telah ditandatangani oleh DPJP dilampirkan sebagai bahan pendukung pengajuan klaim. 7) Petugas administrasi klaim atau koder melakukan input hasil scoring WHO-DAS berupa angka penilaian awal masuk pada periode sub akut dan kronis ke dalam aplikasi INA-CBG pada kolom ADL, selanjutnya aplikasi INA-CBG akan melakukan penghitungan tarif secara otomatis.

-24-

BAB III KODING INA-CBG Koding adalah kegiatan memberikan kode diagnosis utama dan diagnosis sekunder sesuai dengan ICD-10 (International Statistical Classification of Diseases and Related Health Problems) yang diterbitkan oleh WHO serta memberikan kode tindakan/prosedur sesuai dengan ICD-9-CM (International Classification of Diseases Revision Clinical Modification). Koding sangat penting dalam sistem pembiayaan prospektif yang akan menentukan besarnya biaya yang dibayarkan ke FKRTL. Aturan dan pedoman koding yang digunakan dalam INA-CBG adalah aturan koding morbiditas. Koding dalam INA–CBG menggunakan ICD-10 revisi Tahun 2010 untuk mengkode diagnosis utama dan diagnosis sekunder serta menggunakan ICD-9CM revisi Tahun 2010 untuk mengkode tindakan/prosedur. Sumber data untuk mengkode INA-CBG berasal dari resume medis yaitu data diagnosis dan tindakan/prosedur, apabila diperlukan dapat dilihat dalam berkas rekam medis. Ketepatan koding diagnosis dan tindakan/prosedur sangat berpengaruh terhadap hasil grouper dalam aplikasi INA-CBG. Diagnosis utama adalah diagnosis yang ditegakkan oleh dokter pada akhir episode perawatan yang menyebabkan pasien mendapatkan perawatan atau pemeriksaan lebih lanjut. Jika terdapat lebih dari satu diagnosis, maka dipilih yang menggunakan sumber daya paling banyak. Jika tidak terdapat diagnosis yang dapat ditegakkan pada akhir episode perawatan, maka gejala utama, hasil pemeriksaan penunjang yang tidak normal atau masalah lainnya dipilih menjadi diagnosis utama. Diagnosis Sekunder adalah diagnosis yang menyertai diagnosis utama pada saat pasien masuk atau yang terjadi selama episode perawatan. Diagnosis sekunder merupakan komorbiditas dan/atau komplikasi. Komorbiditas adalah penyakit yang menyertai diagnosis utama atau kondisi yang sudah ada sebelum pasien masuk rawat dan membutuhkan pelayanan kesehatan setelah masuk maupun selama rawat. Komplikasi adalah penyakit yang timbul dalam masa perawatan dan memerlukan pelayanan tambahan sewaktu episode pelayanan, baik yang disebabkan oleh kondisi yang ada atau muncul akibat dari pelayanan kesehatan yang diberikan kepada pasien.

-25-

Aturan penulisan diagnosis adalah sebagai berikut : 1.

Diagnosis bersifat informatif agar bisa diklasifikasikan pada kode ICD yang spesifik. Contoh penulisan diagnosis :

2.

-

Karsinoma sel transisional pada trigonum kandung kemih

-

Appendisitis akut dengan perforasi

-

Katarak Diabetikum, Non Insulin Dependent Diabetes Mellitus

-

Perikarditis Meningokokus

-

Luka bakar derajat tiga di telapak tangan

Jika tidak terdapat diagnosis yang dapat ditegakkan pada akhir episode perawatan, maka gejala utama, hasil pemeriksaan penunjang yang tidak normal atau masalah lainnya dipilih menjadi diagnosis utama.

3.

Diagnosis untuk kondisi multipel seperti cedera multipel, gejala sisa (sekuele) multipel dari penyakit atau cedera sebelumnya, atau kondisi multipel yang terjadi pada penyakit human immunodeficiencyvirus (HIV), jika salah satu kondisi yang jelas lebih berat dan lebih banyak menggunakan sumber daya dibandingkan dengan yang lain dicatat sebagai diagnosis utama dan yang lainnya sebagai diagnosis sekunder. Jika tidak ada satu kondisi yang menonjol, maka digunakan ‘fraktur multipel’ atau ‘penyakit HIV yang menyebabkan infeksi multipel sebagai diagnosis utama dan kondisi lainnya sebagai diagnosis sekunder. Jika

suatu

episode

perawatan

ditujukan

untuk

pengobatan

atau

pemeriksaan gejala sisa (sekuele) suatu penyakit lama yang sudah tidak diderita lagi, maka diagnosis sekuele harus ditullis dengan asal-usulnya. Contoh : -

Septum hidung bengkok karena fraktur hidung di masa kanak-kanak

-

Kontraktur tendon Achilles karena efek jangka panjang dari cedera tendon

4. Jika terjadi sekuele multipel yang pengobatan atau pemeriksaannya tidak difokuskan pada salah satu dari kondisi sekuele mutipel tersebut, maka bisa

ditegakkan

diagnosis

sekuele

multipel.

Contoh:

cerebrovaskuler accident (CVA)” atau “sekuele fraktur multipel”.

“sekuele

-26-

A.

ICD (International Statistical Classification of Diseases and Related Health Problems) 10 Revisi Tahun 2010 ICD 10 revisi Tahun 2010 terdiri dari 3 volume dan 22 bab dengan rincian sebagai berikut : 1.

Volume 1 merupakan daftar tabulasi dalam kode alfanumerik tiga atau empat karakter dengan inklusi dan eksklusi, beberapa aturan pengkodean, klasifikasi morfologis neoplasma, daftar tabulasi khusus untuk morbiditas dan mortalitas, definisi tentang penyebab kematian serta peraturan mengenai nomenklatur.

2.

Volume 2 merupakan manual instruksi dan pedoman pengunaan ICD-10

3.

Volume 3 merupakan Indeks alfabetis, daftar komprehensif semua kondisi yang ada di daftar Tabulasi (volume 1), daftar sebab luar gangguan (external cause), tabel neoplasma serta petunjuk memilih kode yang sesuai untuk berbagai kondisi yang tidak ditampilkan dalam Tabular List.

Langkah – langkah koding menggunakan ICD 10 : 1.

Identifikasi tipe pernyataan yang akan dikode dan lihat di buku ICD volume 3 (Alphabetical Index). Jika pernyataannya adalah penyakit atau cedera atau lainnya diklasifikasikan dalam bab 1-19 dan 20-21 (Section I Volume 3). Jika pernyataannya adalah penyebab luar atau cedera diklasifikasikan pada bab 20 (Section II Volume 3)

2.

Tentukan Lead Term. Untuk penyakit dan cedera biasanya adalah kata benda untuk kondisi patologis. Namum, beberapa kondisi dijelaskan dalam kata sifat atau eponym dimasukkan dalam index sebagai Lead Term.

3.

Baca dan ikuti semua catatan atau petunjuk dibawah kata kunci.

4.

Baca setiap catatan dalam tanda kurung setelah kata kunci (penjelasan ini tidak mempengaruhi kode) dan penjelasan indentasi dibawah lead term (penjelasan ini mempengaruhi kode) sampai semua kata dalam diagnosis tercantum.

5.

Ikuti setiap petunjuk rujukan silang (“see” dan “see also”) yang ditemukan dalam index

6.

Cek ketepatan kode yang telah dipilih pada volume 1. Untuk Kategori 3 karakter dengan .- (point dash) berarti ada karakter ke 4 yang harus ditentukan pada Volume 1 karena tidak terdapat dalam Index

-27-

7.

Baca setiap inclusion atau exclusion dibawah kode yang dipilih, dibawah bab, dibawah blok atau dibawah judul kategori Contoh : - E10 Insulin-dependent diabetes mellitus Includes : diabetes (mellitus) : •

Brittle

•

juvenile-onset

•

ketosis-prone

•

type 1

Excludes : diabetes mellitus (in) : •

malnutrition-related (E12.-)

•

neonatal (P70.2)

•

pregnancy, childbirth and the puerperium (O24.-) glycosuria:

•

NOS (R81)

•

renal (E74.8)

impaired glucose tolerance (R73.0) postsurgical hypoinsulinaemia (E89.1) - N18 Chronic Renal Failure Includes : chronic uraemia diffuse sclerosing glomerulonephritis Excludes : chronic renal failure with hypertension (I12.0) 8. Tentukan Kode.

Proses koding dilakukan sesuai dengan diagnosis yang ditegakkan oleh dokter. Jika ditemukan kesalahan atau inkonsistensi pencatatan diangnosis, maka koder harus melakukan klarifikasi kepada dokter penanggungjawab pelayanan (DPJP). Dalam hal koder tidak berhasil melakukan klarifikasi kepada DPJP, maka koder menggunakan Rule MB1 sampai MB5 untuk memilih kembali kode diagnosis utama (‘re-seleksi’).

-28-

Aturan koding dalam ICD 10 : a.

Jika dalam ICD 10 terdapat catatan “Use additional code, if desired, to identify specified condition” maka kode tersebut dapat digunakan sesuai dengan kondisi pasien.

b.

Pengkodean sistem dagger (†) dan asterisk (*) Jika diagnosis utama yang ditegakkan dokter dalam ICD 10 menggunakan kode dagger dan asterisk maka yang dikode sebagai diagnosis utama adalah kode dagger, sedangkan kode asterisk sebagai diagnosis sekunder. Namun jika diagnosis sekunder yang ditegakkan dokter dalam ICD 10 menggunakan kode dagger dan asterisk, maka kode tersebut menjadi diagnosis sekunder. Tanda dagger (†) dan asterisk (*) tidak diinput di dalam aplikasi INA-CBG. Contoh : Diagnosis Utama

: Pneumonia measles

Diagnosis Sekunder

:-

Dikode measles complicated by pneumonia (B05.2†) sebagai diagnosis utama dan pneumonia in viral disease classified elsewhere (J17.1*) sebagai diagnosis sekunder. Contoh : Diagnosis Utama Diagnosis Sekunder

: Perikarditis Tuberkulosa :-

Dikode tuberculosis of other specified organs (A18.8†) sebagai diagnosis utama dan pericarditis in bacterial disease classified elsewhere (I32.0*) sebagai diagnosis sekunder Contoh : Diagnosis Utama

: DM Type II

Diagnosis Sekunder

: Arthitis pada penyakit Lyme

Dikode

DM Type II (E11.9) sebagai diagnosis utama, Lyme

disease (A69.2†) sebagai diagnosis sekunder dan arthitis in Lyme disease (M01.2*) sebagai diagnosis sekunder Contoh : Diagnosis Utama

: Anemia

-29-

Diagnosis Sekunder

: Ca Mammae

Dikode Ca Mammae (C50.9†) sebagai diagnosis utama dan anemia (D63.0*) sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Anemia

Diagnosis Sekunder

: Kronik Renal Failure

Dikode Kronik Renal Failure (N18.9†) sebagai diagnosis utama, anemia (D63.8*) sebagai diagnosis sekunder. c.

Pengkodean dugaan kondisi, gejala, penemuan abnormal, dan situasi tanpa penyakit Jika pasien dalam episode rawat, koder harus hati-hati dalam mengklasifikasikan Diagnosis Utama pada Bab XVIII (Kode R) dan XXI (Kode Z). Jika diagnosis yang lebih spesifik belum ditegakkan sampai akhir episode perawatan atau tidak ada penyakit atau cedera pada saat dirawat yang bisa dikode, maka kode dari Bab XVIII dan XXI dapat digunakan sebagai kode diagnosis utama (lihat juga Rules MB3 dan MB5). Kategori Z03.– (observasi dan evaluasi medis untuk penyakit dan kondisi yang dicurigai) digunakan untuk diagnosis “suspek” yang dapat dikesampingkan setelah dilakukan pemeriksaan lanjutan. Contoh : Diagnosis Utama

: Dugaan neoplasma ganas serviks –

setelah dilakukan pemeriksaan lanjutan didapatkan hasil bukan neoplasma ganas serviks Diagnosis Sekunder

:-

Dikode observasi dugaan neoplasma ganas (Z03.1) sebagai diagnosis utama. Contoh : Diagnosis Utama

: Infark miokardium - ternyata bukan

Diagnosis Sekunder

:-

-30-

Dikode observasi dugaan infark miokardium (Z03.4) sebagai diagnosis utama. Contoh : Diagnosis Utama

: Epistaxis berat

Diagnosis Sekunder

:-

Pasien dirawat satu hari. Tak ada laporan prosedur atau pemeriksaan. Dikode Epistaxis (R04.0). Ini bisa diterima karena pasien jelas dirawat hanya untuk kondisi darurat. d.

Pengkodean kondisi multiple Jika kondisi multiple dicatat di dalam kategori berjudul “Multiple ...”, dan tidak satu pun kondisi yang menonjol, kode untuk kategori “Multiple ...”, harus dipakai sebagai kode diagnosis utama, dan setiap kondisi lain menjadi kode diagnosis sekunder. Pengkodean seperti ini digunakan terutama pada kondisi yang berhubungan dengan penyakit HIV, cedera dan sekuele. Contoh : Diagnosis Utama

: HIV

disease

resulting

in

multiple

infections Diagnosis Sekunder : HIV disease resulting in candidiasis HIV

disease

resulting

in

other

viral

infections Dikode HIV disease resulting in multiple infections (B20.7) sebagai diagnosis utama, HIV disease resulting in candidiasis (B20.4) dan HIV disease resulting in other viral infections (B20.3) sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Multiple fraktur of femur

Diagnosis Sekunder

: Frakture of shaft of femur Frakture of lower of end of femur

-31-

Dikode

multiple fraktur of femur (S72.7) sebagai diagnosis

utama, fraktur of shaft of femur (S72.3) dan Frakture of lower of end of femur (S72.4) sebagai diagnosis sekunder. e.

Pengkodean kategori kombinasi ICD menyediakan kategori tertentu dimana dua diagnosis yang berhubungan diwakili oleh satu kode. Contoh : Diagnosis Utama

: Gagal ginjal

Diagnosis Sekunder

: Penyakit ginjal hipertensi

Dikode Penyakit ginjal hipertensi dengan gagal ginjal (I12.0) Contoh : Diagnosis Utama

:

Glaukoma

karena

peradangan

mata Diagnosis Sekunder

:–

Dikode Glaukoma akibat peradangan mata (H40.4) sebagai diagnosis utama. Contoh : Diagnosis Utama

: Obstruksi usus

Diagnosis Sekunder

: Hernia inguinalis kiri

Dikode Hernia inguinalis unilateral, dengan obstruksi, tanpa gangren (K40.3) Contoh : Diagnosis Utama

:

Katarak

diabetes

tergantung

insulin Diagnosis Sekunder

: Hipertensi

Spesialisasi

: Oftalmologi

Dikode Diabetes tergantung insulin dengan komplikasi mata (E10.3†) sebagai diagnosis utama dan katarak diabetes (H28.0*) serta Hipertensi (I10) sebagai diagnosis sekunder.

-32-

f.

Pengkodean sekuele kondisi tertentu ICD menyediakan sejumlah kategori yang berjudul “sequelae of ...” (B90-B94, E64.-, E68, G09, I69.-, O97, T90-T98, Y85-Y89) yang

digunakan

untuk

menunjukkan

kondisi

yang

tidak

didapatkan lagi, sebagai penyebab masalah yang saat ini sedang diperiksa atau diobati. Namun, kode yang diutamakan sebagai diagnosis utama adalah kode yang sesuai dengan bentuk sekuele itu. Kode “sequelae of ......” dapat ditambahkan sebagai kode tambahan. Jika terdapat sejumlah sekuele spesifik namun tidak ada yang lebih menonjol dalam hal kegawatan dan penggunaan sumber daya, boleh digunakan “Sequelae of ...” sebagai diagnosis utama, yang kemudian dikode pada kategori yang sesuai. Perhatikan bahwa kondisi penyebab bisa dinyatakan dengan istilah ‘old’ (lama), ‘no longer present’ (tidak terdapat lagi), dan sebagainya, begitu pula kondisi yang diakibatkannya bisa dinyatakan sebagai ‘late effect of .....’ (efek lanjut .....), atau ‘sequele of .....’. Tidak diperlukan interval waktu minimal. Contoh : Diagnosis Utama Diagnosis Sekunder

: Dysphasia akibat infark otak lama :-

Dikode Dysphasia (R47.0) sebagai diagnosis utama, ‘sequelae of cerebral infarction’ (I69.3) sebagai diagnosis sekunder. Contoh : Diagnosis Utama

:

Osteoartritis sendi panggul akibat fraktur lama panggul karena kecelakaan kendaraan bermotor 10 tahun yang lalu Diagnosis Sekunder Dikode

Other

:-

post-traumatic

coxarthrosis

(M16.5)

sebagai

diagnosis utama, ‘sequelae of fracture of femur’ (T93.1) sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Efek lanjut poliomielitis

-33-

Diagnosis Sekunder

:

Dikode Sequelae of poliomyelitis (B91) sebagai diagnosis utama karena informasi lain tidak tersedia. Contoh : Diagnosis Utama

: Epilepsi akibat abses lama otak.

Spesialisasi

: Neurologi

Dikode Epilepsi, tidak dijelaskan (G40.9) sebagai diagnosis utama. Sequelae of inflammatory diseases of central nervous system (G09) sebagai diagnosis sekunder. g.

Pengkodean kondisi-kondisi akut dan kronis Jika Diagnosis Utama dicatat sebagai akut (atau subakut) dan kronis, berbeda

ICD

menyediakan

untuk

kategori

atau

masing-masing kategori,

subkategori tapi

tidak

yang untuk

gabungannya, kategori kondisi akut harus digunakan sebagai Diagnosis Utama. Contoh : Diagnosis Utama

: Kholesistitis akut dan kronis

Diagnosis Sekunder

:-

Dikode Acute cholecystitis (K81.0) sebagai diagnosis utama, chronic cholecystitis (K81.1) sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Penggawatan akut bronkitis kronis

obstruktif. Diagnosis Sekunder

:-

Dikode Chronic obstructive pulmonary disease with acute exacerbation (J44.1) sebagai diagnosis utama karena disini terdapat kode gabungan akut dan kronis. h.

Pengkodean kondisi pasca-prosedur dan komplikasinya Pada Bab XIX (T80-T88) tersedia kategori untuk komplikasi yang berhubungan dengan operasi dan prosedur lain, contohnya infeksi

luka

operasi,

komplikasi

mekanis

benda-benda

implantasi, syok, dan lainnya. Kondisi tertentu yang terjadi

-34-

setelah prosedur (misalnya pneumonia, embolisme paru) tidak dianggap sebagai kondisi tersendiri sehingga dikode seperti biasa, namun bisa diberi kode tambahan dari Y83-Y84 untuk menunjukkan hubungannya dengan suatu prosedur. Jika kondisi dan komplikasi ini dicatat sebagai Diagnosis Utama, perlu dilakukan rujukan ke ‘modifier’ atau ‘qualifier’ pada Indeks Alfabet untuk pemilihan kode yang tepat. Contoh : Diagnosis Utama

: Hipotiroidisme sejak tiroidektomi 1 tahun

yang lalu. Diagnosis Sekunder

:-

Spesialisasi

: Kedokteran umum

Dikode Hipotiroidisme pasca-bedah (E89.0) sebagai diagnosis utama. Contoh : Diagnosis Utama

:

Perdarahan

berlebihan

setelah

pencabutan gigi. Diagnosis Sekunder

:-

Spesialisasi

: Kedokteran gigi

Dikode Perdarahan akibat suatu prosedur (T81.0) sebagai diagnosis utama. Contoh : Diagnosis Utama

:

Psikosis

pasca-bedah

setelah

operasi plastik. Diagnosis Sekunder

:-

Spesialisasi

: Psikiatri

Dikode Psikosis (B91) sebagai diagnosis utama i.

Dalam hal koder tidak berhasil melakukan klarifikasi kepada dokter

penanggungjawab

pelayanan

(DPJP),

maka

koder

menggunakan Rule MB1 sampai MB5 untuk memilih kembali kode diagnosis utama (‘re-seleksi’) yaitu sebagai berikut : 1) Rule MB1 (Kondisi minor tercatat sebagai diagnosis utama, sedangkan kondisi yang lebih berarti dicatat sebagai diagnosis sekunder).

-35-

Ketika kondisi minor atau yang telah berlangsung lama, atau masalah

insidental,

sedangkan

kondisi

tercatat yang

sebagai

lebih

diagnosis

berarti,

relevan

utama, dengan

pengobatan yang diberikan dan/atau spesialisasi perawatan, tercatat sebagai diagnosis sekunder, maka reseleksi kondisi yang berarti tersebut sebagai diagnosis utama. Contoh : Diagnosis Utama

: Sinusitis akut.

Diagnosis Sekunder

: Karsinoma endoserviks Hipertensi

Prosedur

: Histerektomi total

Spesialisasi

: Ginekologi

Pasien di rumah sakit selama tiga minggu Dikode Karsinoma endoserviks (C53.0) sebagai diagnosis utama, sinusitis akut dan Hipertensi sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Arthritis rematoid

Diagnosis Sekunder

: Diabetes mellitus Hernia femoralis terpuntir Arteriosklerosis generalisata Pasien di rumah sakit selama tiga minggu

Prosedur

: Herniorrhaphy

Spesialisasi

: Bedah umum

Dikode Strangulated femoral hernia (K41.3) sebagai diagnosis utama,

Arthritis

rematoid,

Diabetes

melitus,

dan

arteriosklerosis generalisata sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Epilepsy

Diagnosis Sekunder

: Otomikosis

Spesialisasi

: Telinga, hidung dan tenggorok

Dikode Otomikosis (B36.9† dan H62.2 *) sebagai diagnosis utama dan epilepsy sebagai diagnosis sekunder.

-36-

Contoh : Diagnosis Utama

: Kegagalan jantung kongestif

Diagnosis Sekunder

: Fraktur leher femur karena jatuh dari tempat tidur waktu dirawat

Prosedur

: Fiksasi fraktur internal

Spesialisasi

: Penyakit Dalam 1 minggu, transfer ke ortopedi untuk fraktur

Pasien di rumah sakit selama empat minggu Dikode Fraktur leher femur (S72.0) sebagai diagnosis utama, kegagalan jantung kongestif sebagai diagnosis sekunder. 2) Rule MB2 (Beberapa kondisi Dicatat sebagai Diagnosis Utama). Jika beberapa kondisi yang tidak bisa dikode bersamaan tercatat sebagai diagnosis utama, dan menunjukkan bahwa satu di antaranya adalah diagnosis utama pada asuhan pasien, pilihlah kondisi tersebut. Jika tidak, pilih kondisi yang sesuai dengan spesialisasi yang menangani. Contoh : Diagnosis Utama

: Katarak Meningitis stafilokokus Penyakit jantung iskemik.

Diagnosis Sekunder

:-

Spesialisasi

: Neurologi

Pasien di rumah sakit selama lima minggu Dikode Meningitis stafilokokus (G00.3) sebagai diagnosis utama, Katarak dan Penyakit jantung iskemik sebagai diagnosis sekunder Contoh : Diagnosis Utama

: Bronkitis obstruktif kronis Hipertrofi prostat Psoriasis vulgaris

Diagnosis Sekunder

:-

Spesialisasi

: Dokter Ahli Kulit

-37-

Dikode Psoriasis vulgaris (L40.0) sebagai diagnosis utama, Bronkitis obstruktif kronis dan hipertrofi prostat sebagai diagnosis sekunder Contoh : Diagnosis Utama

: Gastritis kronis Keganasan

sekunder

di

nodus

limfe axilla Karsinoma mammae Diagnosis Sekunder

:-

Prosedur

: Mastektomi

Dikode

Neoplasma

ganas

mammae

(C50.9)

sebagai

diagnosis utama, Gastritis kronis dan keganasan sekunder di nodus limpe axilla sebagai diagnosis sekunder 3) Rule MB3 (Kondisi yang dicatat sebagai diagnosis utama merupakan gejala dari kondisi yang telah didiagnosis dan diobati). Jika

suatu

gejala

atau

tanda

(pada

umumnya

diklasifikasikan pada Bab XVIII), atau suatu masalah yang bisa

diklasifikasikan

diagnosis masalah

pada

utama, dan dari

kondisi

Bab

XXI,

dicatat

merupakan

tanda,

yang

didiagnosis

telah

sebagai

gejala

atau

sebagai

diagnosis sekunder dan telah dirawat, maka pilihlah kondisi yang didiagnosis tersebut sebagai diagnosis utama. Contoh : Diagnosis Utama

: Hematuria

Diagnosis Sekunder

: Varises vena tungkai Papilomata dinding belakang kandung kemih

Pengobatan

: Eksisi diatermi papillomata

Spesialisasi

: Urologi

Dikode

Papilomata

dinding

belakang

(D41.4) sebagai diagnosis utama,

kandung

kemih

Hematuria dan Varises

vena tungkai sebagai diagnosis sekunder.

-38-


: Koma

Diagnosis Sekunder

: Penyakit jantung iskemik

Otosklerosis Diabetes mellitus, insulin dependent Spesialisasi

: Endokrinologi

Perawatan

: Penentuan dosis insulin yang tepat

Dikode Diabetes mellitus, insulin dependent (E10.0) sebagai diagnosis utama, Koma disebabkan oleh diabetes mellitus, sehingga digunakan kode kombinasi. Penyakit jantung iskemik dan Otosklerosis sebagai diagnosis sekunder Contoh : Diagnosis Utama

: Kejang demam

Diagnosis Sekunder

: Anemia

Tidak ada informasi terapi Dikode Kejang demam (R56.0) sebagai diagnosis utama. Anemia dikode sebagai diagnosis sekunder. Rule MB3 tidak dapat berlaku karena diagnosis utama bukan gejala yang mewakili diagnosis sekunder. 4) Rule MB4 (Kespesifikan). Jika diagnosis yang tercatat sebagai diagnosis utama menguraikan suatu kondisi secara umum, sedangkan suatu istilah yang bisa memberikan informasi yang lebih tepat mengenai tempat atau bentuk kondisi tersebut tercatat sebagai diagnosis sekunder, maka pilihlah yang diagnosis sekunder tersebut sebagai diagnosis utama. Contoh : Diagnosis Utama

: Cerebrovascular accident

Diagnosis Sekunder

: Diabetes mellitus Hipertensi Perdarahan otak

Dikode Perdarahan otak (I61.9) sebagai diagnosis utama, Diabetes

melitus

dan

Hipertensi

sebagai

diagnosis

sekunder, dan Cerebrovascular accident tidak dikoding.

-39-


: Penyakit jantung kongenital

Diagnosis Sekunder

: Defek septum ventrikel

Dikode Ventricular septal defect (Q21.0) sebagai diagnosis utama dan penyakit jantung kongenital tidak dikoding 5) Rule MB5 (Diagnosis alternatif). Jika suatu gejala atau tanda dicatat sebagai diagnosis utama dan disebabkan oleh suatu kondisi atau diagnosis sekunder, maka pilihlah gejala tersebut sebagai diagnosis utama. Jika dua kondisi atau lebih tercatat sebagai pilihan diagnostik untuk diagnosis utama, pilihlah kondisi pertama yang tercatat. Contoh : Diagnosis Utama

:

Sakit

kepala

karena

stress

atau

tegangan otot atau sinusitis akut Diagnosis Sekunder

:-

Sakit kepala sebagai diagnosis utama dikode R51. Contoh : Diagnosis Utama

: Kholesistitis akut atau pankreatitis

akut Diagnosis Sekunder

:-

Kholesistitis akut sebagai diagnosis utama dikode K81.0. Contoh : Diagnosis Utama

: Gastroenteritis akibat infeksi atau

keracunan makanan Diagnosis Sekunder

:-

Infectious gastroenteritis sebagai diagnosis utama dikode A09. j.

Petunjuk untuk bab-bab spesifik Berikut ini adalah beberapa petunjuk untuk bab-bab spesifik dimana masalah mungkin timbul pada saat memilih kode diagnosis utama. Pedoman dan Rule umum berlaku untuk

-40-

semua bab kecuali jika dalam petunjuk untuk bab–bab spesifik dibawah ini menyatakan lain. 1) Bab I Penyakit Infeksi dan Penyakit B20-B24 Penyakit human immunodeficiency virus (HIV) Seorang pasien dengan sistem imun yang rusak akibat penyakit HIV kadang-kadang memerlukan pengobatan untuk lebih dari satu penyakit pada satu periode perawatan, misalnya

infeksi

mycobacterium

dan

cytomegalovirus.

Kategori dan subkategori terdapat pada blok ini untuk penyakit

HIV

dengan

berbagai

penyakit

yang

ditimbulkannya. Pilihlah Kode subkategori yang sesuai untuk diagnosis utama sebagaimana dipilih oleh dokter penanggung jawab pelayanan (DPJP). Jika diagnosis utama yang dicatat adalah penyakit HIV dengan multiple penyakit penyerta, maka subkategori .7 dari B20-B22

harus

dikode.

Kondisi-kondisi

yang

bisa

diklasifikasikan pada dua subkategori atau lebih harus dikode pada subkategori .7 pada kategori yang relevan (misalnya digunakan

B20

atau

apabila

B21).

Subkategori

terdapat

kondisi

B22.7

harus

yang

bisa

diklasifikasikan pada dua kategori atau lebih pada B20-B22. Kode tambahan dari dalam blok B20-B24 digunakan sebagai diagnosis sekunder. jika kondisi yang berhubungan jelas muncul lebih dahulu daripada infeksi HIV, maka kode kombinasi tidak boleh digunakan dan Selection Rules harus diikuti. Contoh : Diagnosis Utama

: Penyakit HIV dan sarkoma Kaposi

Diagnosis Sekunder : Penyakit HIV yang menyebabkan Sarkoma Kaposi sebagai diagnosis utama dikode B21.0. Contoh : Diagnosis Utama

: Toxoplasmosis dan cryptococcosis pada

pasien HIV Diagnosis Sekunder : -

-41-

Dikode Penyakit HIV yang menyebabkan infeksi ganda (B20.7)

sebagai

diagnosis

utama,

penyakit

HIV

yang

menyebabkan penyakit infeksi dan parasit lain (B20.8) dan penyakit HIV yang menyebabkan mikosis lain (B20.5) sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Penyakit HIV dan kandidiasis

Diagnosis Sekunder : Dikode Penyakit HIV yang menyebabkan kandidiasis (B20.4) sebagai diagnosis utama Contoh : Diagnosis Utama : Pneumocystis

Penyakit

carinii,

HIV

limfoma

dengan

Burkitt

dan

pneumonia kandidiasis

mulut. Diagnosis Sekunder

:-

Dikode Penyakit HIV yang menyebabkan penyakit ganda (B22.7)

sebagai

menyebabkan

diagnosis

pneumonia

utama,

penyakit

Pneumocystis

HIV

carinii

yang

(B20.6),

penyakit HIV yang menyebabkan limfoma Burkitt (B21.1), dan penyakit HIV yang menyebabkan kandidiasis (B20.4) sebagai diagnosis sekunder. Dalam koding INA-CBG menggunakan kode 4 karakter untuk Subkategori

pada

B20-B23.

Penentuan

penggunaan

subkategori 4-karakter pada B20-B23 atau kode penyebab ganda adalah untuk mengidentifikasi kondisi yang lebih spesifik. 2) Bab II Neoplasma Cara mengkode pada kasus neoplasma, harus menggunakan catatan pengantar Bab II di Volume 1 dan Pendahuluan Volume 3 ICD 10 tahun 2010 tentang pemberian kode dan penggunaan deskripsi morfologis sebagai rujukan. Kasus

neoplasma

baik

primer

atau

sekunder

(metastasis) yang merupakan fokus perawatan, harus dicatat dan dikode sebagai diagnosis utama.

-42-

Dalam hal diagnosis utama yang dicatat oleh dokter adalah neoplasma primer yang sudah tidak terdapat lagi, maka diagnosis utama adalah neoplasma lokasi sekunder, komplikasi saat ini, atau keadaan yang bisa dikode pada Bab XXI

yang merupakan fokus pengobatan atau pemeriksaan

saat ini. Sedangkan untuk riwayat neoplasma primer yang ada pada Bab XXI digunakan sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Karsinoma prostat

Diagnosis Sekunder

: Bronkitis kronis

Prosedur

: Prostatektomi

Neoplasma ganas prostat sebagai diagnosis utama dikode C61. Contoh : Diagnosis Utama

: Karsinoma mammae - dibuang dua tahun yang lalu

Diagnosis Sekunder

: Karsinoma sekunder paru-paru

Prosedur

: Bronkoskopi dengan biopsi

Dikode

Neoplasma

diagnosis

utama,

ganas riwayat

paru-paru neoplasma

(C78.0)

sebagai

mammae

(Z85.3)

sebagai diagnosis sekunder. Contoh : Diagnosis Utama

:

Kanker

bladder

telah

dibuang - dirawat untuk pemeriksaan follow-up dengan cystoscopy. Diagnosis Sekunder

:-

Prosedur

: Cystoscopy

Dikode Pemeriksaan follow-up pasca operasi neoplasma ganas (Z08.0) sebagai diagnosis utama, riwayat neoplasma ganas saluran urin (Z85.5) sebagai diagnosis sekunder. C80 digunakan sebagai kode diagnosis utama hanya jika dokter dengan jelas mencatat neoplasma ganas tanpa penjelasan lokasinya.

-43-

C97 digunakan hanya jika dokter mencatat sebagai diagnosis utama terdiri dari dua atau lebih neoplasma ganas primer yang independen, tanpa ada yang lebih menonjol. Neoplasma ganas yang lebih rinci dikode sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Carcinomatosis

Diagnosis Sekunder

:-

Dikode

Neoplasma

ganas

tanpa

penjelasan

mengenai

lokasinya (C80). Contoh : Diagnosis Utama

:

Multiple

myeloma

dan

adenokarsinoma prostat primer Diagnosis Sekunder

:-

Dikode Neoplasma ganas primer yang independen dengan lokasi multipel (C97) sebagai diagnosis utama, multiple myeloma (C90.0) dan neoplasma ganas prostat (C61) sebagai diagnosis sekunder. 3) Bab IV Penyakit Endokrin, nutrisi, dan metabolisme E10-E14 Diabetes Mellitus Pemilihan subkategori yang tepat dari daftar yang berlaku bagi seluruh kategori ini didasarkan pada diagnosis utama yang tercatat. Subkategori “.7” hanya digunakan sebagai diagnosis jika berbagai komplikasi diabetes dicatat sebagai diagnosis

utama

tanpa

mengutamakan

salah

satu

di

antaranya. Untuk masing-masing komplikasi dikode sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Gagal ginjal akibat

glomerulonefrosis diabetes Diagnosis Sekunder

:-

Dikode Diabetes Melitus, tidak dijelaskan, dengan komplikasi ginjal (E14.2† dan N08.3 *).

-44-


:

Diabetes

Melitus

tergantung

insulin dengan nefropati, gangren, dan katarak. Diagnosis Sekunder

:-

Dikode IDDM dengan komplikasi ganda (E10.7) sebagai diagnosis utama, IDDM dengan nefropati (E10.2† dan N08.3*), IDDM dengan komplikasi sirkulasi perifer (E10.5), dan IDDM dengan katarak (E10.3† dan H28.0*) sebagai diagnosis sekunder 4) Bab VII: Penyakit-penyakit mata dan adnexa H54.- Kebutaan dan pandangan berkurang Kode ini tidak digunakan sebagai diagnosis utama jika penyebabnya teridentifikasi, kecuali jika episode perawatan adalah

untuk

kebutaan

itu

sendiri.

Ketika

penyebab

teridentifikasi maka kode H54.- digunakan sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Kebutaan karena Katarak

Diagnosis Sekunder

:-

Dikode Katarak (H26.9) sebagai diagnosis utama, dan Kebutaan H54.9 sebagai diagnosis sekunder 5) Bab XV: Kehamilan, melahirkan, dan puerperium a)

O08 Komplikasi setelah abortus, kehamilan ektopik dan kehamilan mola. Kode-kode ini tidak digunakan sebagai diagnosis utama, kecuali jika fokus perawatan adalah untuk mengobati komplikasinya,

contohnya

komplikasi

dari

abortus

sebelumnya. Kode tersebut digunakan sebagai diagnosis sekunder

pada

kategori

O00-O02

untuk

mengidentifikasi komplikasi terkait atau pada kategori O03-O07 untuk memberikan rincian yang lebih lengkap tentang komplikasinya. Perhatikan bahwa istilah inklusi yang disediakan pada subkategori O08 harus disebut ketika menetapkan subkategori karakter keempat pada O03-O07.

-45-


: Ruptura kehamilan ektopik tuba

dengan syok. Diagnosis Sekunder: Spesialisasi

: Ginekologi.

Dikode Ruptura kehamilan ektopik tuba (O00.1) sebagai diagnosis utama. Syok setelah abortus, kehamilan ektopik dan kehamilan mola (O08.3) sebagai sekunder. Contoh : Diagnosis Utama

: Aborsi incomplete dengan perforasi uterus

Diagnosis Sekunder: Spesialisasi

: Ginekologi

Dikode Aborsi incomplete dengan komplikasi lain dan tidak

spesifik

(O06.3)

sebagai

diagnosis

utama.

Kerusakan organ panggul dan jaringan berikut aborsi dan kehamilan ektopik dan molar (O08.6) sebagai diagnosis sekunder Contoh : Diagnosis Utama

: Diseminasi intravaskular koagulasi

karena aborsi dua hari yang lalu di fasilitas kesehatan lain Diagnosis Sekunder Spesialisasi

:-

: Ginekologi

Dikode Perdarahan berlebihan atau tertunda karena aborsi dan kehamilan ektopik dan molar (O08.1). Kode lain tidak diperlukan karena aborsi dilakukan pada episode perawatan sebelumnya. b)

O80-O84 Melahirkan Penggunaan kode-kode ini untuk diagnosis utama terbatas

pada

kasus-kasus

ketika

informasi

yang

tercatat dalam rekam medis hanya mengenai kelahiran atau cara kelahiran. Kode-kode O80-O84 digunakan

-46-

sebagai diagnosis sekunder untuk menunjukkan cara atau jenis kelahiran. Contoh : Diagnosis Utama

: Kehamilan.

Diagnosis Sekunder

: -

Prosedur

:

Kelahiran

dengan

forseps

rendah Dikode Kelahiran dengan forseps rendah (O81.0) sebagai dignosis utama, karena tidak ada informasi lain tersedia dan outcome delivery (Z37.-) dikode sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Melahirkan

Diagnosis Sekunder

:

Kegagalan

percobaan

persalinan Prosedur

: Seksio Sesar

Dikode Kegagalan percobaan persalinan (O66.4) sebagai diagnosis utama. Seksio Sesar yang tidak dijelaskan (O82.9) dan outcome delivery (Z37.-) dikode sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Melahirkan anak kembar.

Diagnosis Sekunder

: -

Prosedur

: Kelahiran spontan

Dikode Kehamilan kembar (O30.0) sebagai diagnosis utama. Kehamilan ganda, semua spontan (O80.9) dan outcome

delivery

(Z37.-)

dikode

sebagai

diagnosis

sekunder. Contoh : Diagnosis Utama

: Hamil cukup bulan, melahirkan janin mati 2800gr

Diagnosis Sekunder

: -

Prosedur

: Kelahiran spontan

Dikode Perawatan ibu dengan kematian dalam rahim (O36.4) karena penyebab spesifik kematian janin tidak bisa ditentukan sebagai diagnosis utama. Kelahiran

-47-

normal dan outcome delivery (Z37.-) dikode sebagai diagnosis sekunder. c)

O98-O99 Penyakit ibu yang bisa diklasifikasikan di tempat lain, tapi mempersulit kehamilan, melahirkan, dan puerperium Subkategori yang tersedia disini harus lebih diutamakan untuk Kondisi Utama daripada kategori di luar Bab XV, Jika

pada

kondisi

ini

dinyatakan

mempersulit

kehamilan, diperberat oleh kehamilan, atau merupakan alasan perawatan obstetri. Kode yang relevan dari babbab lain digunakan sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: Toxoplasmosis.

Diagnosis Sekunder : Kehamilan Spesialisasi

:

Klinik

perawatan

beresiko

antenatal

tinggi

Dikode Penyakit protozoa yang mempersulit kehamilan, kelahiran, dan puerperium (O98.6) sebagai diagnosis utama, B58.9 (toxoplasmosis, tidak dijelaskan) sebagai diagnosis sekunder. Contoh : Diagnosis Utama

: KPD

Diagnosis Sekunder

: Persalinan SC Anemia

Spesialisasi Dikode

KPD

: Obgyn (O42.1)

sebagai

diagnosis

utama,

Persalinan SC (O82.9), Anemia (O99.0), dan Anemia (D64.9) sebagai diagnosis sekunder. 6) Bab XIX Cedera, Keracunan, dan Konsekuensi Lain Tertentu dari Penyebab Eksternal Jika tercatat injuri multipel dan tidak ada di antaranya yang dipilih sebagai diagnosis utama, maka pilihlah kode kategori yang tersedia untuk pernyataan injuri multipel sebagai berikut :

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a) Sejenis di daerah tubuh yang sama (biasanya karakter keempat ‘.7’ pada S00-S99) b) Tidak sejenis, tapi di daerah tubuh yang sama (biasanya karakter keempat ‘.7’ pada kategori terakhir masingmasing blok, seperti S09, S19, S29, dan seterusnya) c) Sejenis, tapi tidak di daerah tubuh yang sama (T00-T05). Perhatikan pengecualian berikut : a) Untuk cedera internal yang dicatat bersama dengan hanya cedera permukaan dan/atau luka terbuka, maka pilih cedera internal sebagai diagnosis utama. Cedera permukaan diinput sebagai diagnosis sekunder b) Untuk

fraktur

tulang

tengkorak

dan

muka

yang

berhubungan dengan cedera intrakranium, maka pilih kode cedera intrakranium sebagai diagnosis utama. c) Untuk perdarahan intrakranium yang tercatat bersama cedera lain yang hanya di kepala, maka pilih kode perdarahan intrakranium sebagai diagnosis utama. d) Untuk fraktur yang tercatat dengan luka terbuka hanya di lokasi yang sama, maka pilih kode fraktur sebagai diagnosis utama. Ketika kategori cedera ganda digunakan, maka kode untuk setiap cedera bisa digunakan sebagai kode tambahan. Pada kasus dengan pengecualian di atas, sebagai tambahan pada kode diagnosis utama, maka cedera yang berhubungan bisa diidentifikasi baik dengan kode tambahan : a)

0 untuk cedera tertutup

b)

1 untuk cedera terbuka


:

Cedera

kandung

kemih

dan

urethra. Diagnosis Sekunder

:-

Dikode Cedera ganda organ pelvis (S37.7) sebagai diagnosis utama. cedera kandung kencing (S37.2) dan cedera urethra (S37.3) sebagai diagnosis sekunder.

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:

Luka

terbuka

intrakranium

dengan perdarahan otak. Diagnosis Sekunder

:-

Dikode Perdarahan otak akibat trauma (S06.8). luka terbuka kepala (tempat tidak dijelaskan) atau dengan menambahkan angka 1 (luka intrakranium terbuka) pada kode S06.8 (S06.81)sebagai diagnosis utama, Luka terbuka intrakranium (S01.9) sebagai diagnosis sekunder. T90-T98 Sekuele cedera, keracunan, dan akibat penyebab eksternal lain Kode-kode ini tidak untuk diagnosis utama, kalau bentuk kondisi sisa telah tercatat. Untuk mengkode kondisi sisa, T90-T98 digunakan sebagai diagnosis sekunder. B.

ICD-9-CM

(International

Classification

of

Diseases

Revision

Clinical

Modification) revisi Tahun 2010. ICD-9-CM terdiri dari 3 volume. Namun yang digunakan untuk mengkode tindakan/prosedur adalah volume 3. Langkah – langkah koding menggunakan ICD-9-CM adalah sebagai berikut: 1. Identifikasi tipe pernyataan prosedur/tindakan yang akan dikode dan

lihat di buku ICD-9-CM Alphabetical Index. 2. Tentukan Lead Term Untuk prosedur/tindakan. 3. Baca dan ikuti semua catatan atau petunjuk di bawah kata kunci. 4. Baca setiap catatan dalam tanda kurung setelah kata kunci (penjelasan

ini tidak mempengaruhi kode) dan penjelasan indentasi dibawah lead term (penjelasan ini mempengaruhi kode) sampai semua kata dalam diagnosis tercantum. 5. Ikuti setiap petunjuk rujukan silang (“see” dan “see also”) yang

ditemukan dalam index : 6. Cek ketepatan kode yang telah dipilih pada Tabular List. 7. Baca setiap inclusion atau exclusion dibawah kode yang dipilih atau

dibawah bab atau dibawah blok atau dibawah judul kategori. 8. Tentukan Kode

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Aturan dalam koding ICD-9-CM : 1. Kata –See, see also (lihat juga) Jika

ada

pernyataan

(see,

see

also)

di

belakang

pernyataan

tindakan/prosedur, maka harus melihat juga pernyataan tindakan yang dimaksud. Contoh : Atherectomy coronary Atherectomy -

Cerebrovasculas –see Angioplasty

-

Coronary –see Angioplasty coronary 36.09

Dikode Angioplasty coronary 36.09 Contoh : Catheterization –see also Insertion, -

Catheter arteriovenous 39.93

-

Artery 38.91

Maka harus dilihat juga Insertion. 2. Kata omit code (tidak dikoding) Jika ada pernyataan omit code pada Indeks Alfabet maka prosedur tersebut adalah bagian dari kode prosedur lain yang berhubungan dan tidak dikode. Contoh : Craniotomy 01.24 - as operative approach – omit code fetal 73.8 for decompression of fracture 02.02 reopening of site 01.23 Contoh : Laparatomy NEC 54.19 as operative approach --omit code exploratory (pelvic) 54.11

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Contoh : Laminectomy (decompression) (for exploration) 03.09 as operative approach --omit code 3. Kata Code also (dikoding juga) Jika ada pernyataan code also dibawah pernyataan tindakan/prosedur maka harus dikoding. Contoh : 42.69 Antesternal anastomosis of esophagus dengan gastrostomy Code also any synchronous : esophagectomy (42.40 – 42.42) gastrostomy (43.1) Dikode

antesternal

anastomosis

of

esophagus

(42.69)

dan

other

gastrostomy (43.19) 4. Kata Exclude (tidak termasuk) Jika ada pernyataan Exclude dibawah pernyataan tindakan/prosedur maka harus dikoding yang lain sesuai dengan petunjuk exclude Contoh : Simple excision of lymphatic struture (40.2) Exclude : biopsy of lyphatic structure (40.11) 5. Kata Includes (termasuk) Jika ada pernyataan “includes” dibawah pernyataan tindakan/prosedur maka pernyataan tindakan tersebut termasuk bagian atau contah tindakan tersebut : 35.2 Replacement of heart valve Includes : Excision of heart valve with replacement Code also cardiopulmonary bypass (extracorporeal circulation) (heart-lung) (39.61) C.

Aturan Koding Lainnya yang Berlaku Untuk INA-CBG 1.

Dalam hal bayi lahir dengan tindakan persalinan menggunakan kode P03.0 – P03.6 maka dapat diklaimkan terpisah dari klaim ibunya.

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2.

Kontrol Ulang Dalam hal pasien yang datang untuk kontrol ulang di rawat jalan dengan

diagnosis

yang

sama

pada

kunjungan

sebelumnya,

ditetapkan sebagai diagnosis utama menggunakan kode “Z” dan diagnosis sekunder dikode sesuai penyakitnya. Contoh : Pasien datang ke rumah sakit untuk kontrol Hipertensi. Diagnosis Utama

: Kontrol Ulang

Diagnosis Sekunder

: Hipertensi

Dikode kontrol ulang (Z09.8) sebagai diagnosis utama dan Hipertensi (I10) sebagai diagnosis sekunder. 3.

Terapi Berulang Dalam hal pasien yang datang untuk mendapatkan terapi berulang di rawat jalan seperti rehabilitasi medik, rehabilitasi psikososial, hemodialisa, kemoterapi dan radioterapi ditetapkan sebagai diagnosis utama menggunakan kode “Z” dan diagnosis sekunder dikode sesuai penyakitnya. Contoh : Pasien datang ke RS untuk dilakukan kemoterapi karena Ca. Mammae. Diagnosis Utama

:

Kemoterapi

Diagnosis Sekunder :

Ca. Mammae

Dikode kemoterapi (Z51.1) sebagai diagnosis utama dan Ca. Mammae (C50.9) sebagai diagnosis sekunder. 4.

Pengkodean untuk persalinan : a.

Bila terdapat penyulit atau komplikasi maka penyulit atau komplikasi menjadi diagnosis utama

5.

b.

Metode persalinan (O80.0-O84.9) sebagai diagnosis sekunder

c.

Outcome persalinan (Z37.0 – Z37.9) sebagai diagnosis sekunder

Pengkodean Neoplasma : a.

Pasien

yang

menggunakan

dirawat kode

hanya

Z51.1

untuk

sebagai

neoplasma menjadi diagnosis sekunder

kemoterapi

diagnosis

utama

maka dan

-53-

b.

Pasien

yang

menggunakan

dirawat kode

hanya

Z51.0

untuk

sebagai

radioterapi

diagnosis

maka

utama

dan

neoplasma menjadi diagnosis sekunder c.

Pasien yang datang ke rawat jalan dan mendapatkan obat kemoterapi oral, menggunakan kode Z51.1 sebagai diagnosis utama.

d.

Pasien dengan riwayat neoplasma ganas menggunakan kode Z85.0 – Z85.9

e.

Pasien yang menjalani pemeriksaan neoplasma karena riwayat keluarga dengan neoplasma ganas menggunakan kode Z80.0 – Z80.9

f.

Pasien yang dirawat untuk mengatasi anemia yang terkait dengan neoplasma dan perawatan hanya untuk anemia, maka yang menjadi diagnosis utama adalah neoplasma sedangkan anemia pada neoplasma (D63.0) menjadi diagnosis sekunder.

6.

Penggunaan kode Z29.0 Isolasi digunakan untuk kasus orang yang datang ke rumah sakit untuk melindungi dirinya dari lingkungannya atau untuk isolasi individual setelah melakukan kontak dengan penyakit menular.

7.

Pasien yang telah melahirkan di FKTP, namun dirujuk oleh dokter untuk

melakukan

tubektomi

interval

di

FKRTL

maka

dikode

Sterilization (Z30.2) sebagai diagnosis utama. 8.

Pengkodean Thalasemia : a.

Pasien Thalasemia Mayor adalah pasien yang mempunyai diagnosis utama maupun sekunder mempunyai kode ICD-10 yaitu D56.1

b.

Jika pasien Thalasemia Mayor pada saat kontrol ulang diberikan obat kelasi besi (Deferipone, Deferoksamin, dan Deferasirox) maka diinputkan sebagai rawat jalan dengan menggunakan kode D56.1 sebagai diagnosis utama

9.

Pemasangan infus pump hanya menggunakan kode 99.18

10.

Educational therapy menggunakan kode 94.42

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D.

Episode Episode adalah jangka waktu perawatan pasien mulai dari pasien masuk sampai pasien keluar rumah sakit baik rawat jalan maupun rawat inap, termasuk konsultasi/pemeriksaan dokter dan atau pemeriksaan penunjang maupun pemeriksaan lainnya. Untuk setiap episode hanya dapat dilakukan satu kali klaim. Pada sistem INA-CBG ada 2 episode yaitu episode rawat jalan dan rawat inap, dengan beberapa kriteria di bawah ini : 1.

Episode rawat jalan Satu

episode

rawat

jalan

konsultasi

antara

pasien

penunjang

sesuai

indikasi

adalah dan

satu

dokter

medis

dan

rangkaian

dan atau

atau

pertemuan pemeriksaan

tatalaksana

yang

diberikan pada hari pelayanan yang sama. Ketentuan tambahan terkait dengan episode rawat jalan yaitu : a)

Pada pemeriksaan penunjang yang tidak dapat dilakukan pada hari yang sama yaitu pemeriksaan penunjang yang sesuai indikasi medis memerlukan persiapan khusus dan atau kendala kapasitas pelayanan penunjang maka tidak dihitung sebagai episode baru.

b)

Pasien yang mendapatkan pemeriksaan penunjang dan hasil pemeriksaan tersebut tidak dapat diselesaikan pada hari yang sama akan mendapatkan pelayanan konsultasi dokter lanjutan dan merupakan episode baru. Contoh A :

Satu Episode Konsultasi dokter

Pemeriksaan Penunjang

1 Jan 2016

1 Jan 2016

Konsultasi dokter

1 Jan 2016

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Pasien A berkunjung ke dokter pada tanggal 1 Januari 2016 dan dilakukan pemeriksaan penunjang kemudian konsultasi ke dokter kembali pada hari yang sama, maka rangkaian tersebut adalah satu episode.

Contoh B :

Episode 1

Episode 2

Konsultasi dokter


1 Jan 2016

2 Jan 2016

Konsultasi dokter

3 Jan 2016

Pasien B datang ke rumah sakit tanggal 1 Januari 2016 karena pemeriksaan penunjang tidak dapat dilakukan pada hari yang sama, sehingga pemeriksaan penunjang dilakukan pada tanggal 2 januari 2016. Pada tanggal 3 januari 2016 pasien datang kembali untuk konsultasi ke dokter dengan membawa hasil pemeriksaan penunjangnya. Maka episode pelayanan pasien B adalah 2 episode yaitu sebagai berikut : (1)

Episode pertama tanggal 1 januari 2016 dan 2 januari 2016 terdiri dari konsultasi dokter dan pemeriksaan penunjang

(2)

Episode kedua tanggal 3 januari 2016 untuk konsultasi dokter

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Contoh C :

Satu Episode Konsultasi dokter


10 Feb 2016

9 Feb 2016

Pasien C (pasien lama) datang ke rumah sakit pada tanggal 9 Februari 2016 untuk dilakukan pemeriksaan penunjang. Pada tanggal

10

Februari

2016

pasien

datang

kembali

untuk

konsultasi ke dokter. Maka episode pelayanan pasien C adalah satu episode yaitu tanggal 10 Februari 2016 yang terdiri dari pemeriksaan penunjang dan konsultasi dokter c)

Dalam

hal

pelayanan

berupa

prosedur

atau

terapi

yang

berkelanjutan di pelayanan rawat jalan seperti radioterapi, kemoterapi, rehabilitasi medik, rehabilitasi psikososial, transfusi darah, dan pelayanan gigi, episode yang berlaku adalah per satu kali kunjungan. d)

Pasien yang datang ke rumah sakit mendapatkan pelayanan rawat jalan pada satu atau lebih klinik spesialis pada hari yang sama, terdiri dari satu atau lebih diagnosis, dimana diagnosis satu

dengan

yang

lain

saling

berhubungan

atau

tidak

berhubungan, dihitung sebagai satu episode. e)

Pelayanan IGD yang kurang dari 6 jam dan/atau belum mendapatkan pelayanan rawat inap, termasuk dalam satu episode rawat jalan.

f)

Pasien datang kembali ke rumah sakit dalam keadaan darurat pada hari pelayanan yang sama, maka keadaan darurat tersebut dianggap sebagai episode baru walaupun dengan diagnosis yang sama.

g)

Pasien yang datang ke IGD dan pada hari yang sama datang kembali ke rumah sakit untuk mendapatkan pelayanan rawat

-57-

jalan, maka tidak dihitung sebagai episode baru. h)

Untuk pasien mendapatkan pelayanan rawat inap kurang dari 6 jam yang selanjutnya dirujuk, maka ditetapkan sebagai episode rawat jalan.

2.

Episode Rawat Inap Satu episode rawat inap adalah satu rangkaian perawatan mulai tanggal masuk sampai keluar rumah sakit termasuk perawatan di ruang rawat inap, ruang intensif, dan ruang operasi. Ketentuan tambahan terkait dengan episode rawat inap yaitu : a.

Pelayanan rawat inap yang menjadi kelanjutan dari proses perawatan di rawat jalan atau gawat darurat, maka pelayanan tersebut sudah termasuk dalam satu episode rawat inap.

b.

Pelayanan IGD lebih dari 6 jam, telah mendapatkan pelayanan rawat inap dan secara administrasi telah menjadi pasien rawat inap termasuk satu episode rawat inap.

c.

Dalam hal pasien telah mendapatkan pelayanan rawat inap yang lama perawatan kurang dari 6 jam dan pasien meninggal termasuk satu episode rawat inap.

d.

Dalam hal pasien dirawat inap dan mendapat rencana operasi : 1)

Pasien batal operasi atas alasan medis dan harus dilakukan rawat inap atas kondisi tersebut maka ditagihkan sebagai rawat inap dengan diagnosis yang menyebabkan batal operasi

2)

Pasien batal operasi atas alasan medis namun dapat dilakukan terapi rawat jalan atau pulang maka dapat ditagihkan sebagai rawat inap dengan kode diagnosis Z53.0

3)

Pasien batal operasi atas alasan kurangnya persiapan operasi oleh FKRTL maka tidak dapat ditagihkan.

E.

Tugas dan Tanggung Jawab Untuk mendapatkan hasil grouper yang benar diperlukan kerjasama yang baik antara dokter dan koder. Kelengkapan rekam medis yang ditulis oleh dokter akan sangat membantu koder dalam memberikan kode diagnosis dan tindakan/prosedur yang tepat. Berikut tugas dan tanggung jawab dari dokter dan koder.

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1.

Dokter Tugas

dan

tanggung

menuliskan

jawab

diagnosis

dokter

utama,

adalah

diagnosis

menegakkan

dan

sekunder

dan

tindakan/prosedur yang telah dilaksanakan serta membuat resume medis pasien secara lengkap, jelas dan spesifik selama pasien dirawat di rumah sakit. 2.

Koder Tugas dan tanggung jawab seorang koder adalah melakukan kodifikasi diagnosis dan tindakan/prosedur yang ditulis oleh dokter yang merawat pasien sesuai dengan ICD-10 untuk diagnosis dan ICD-9-CM untuk tindakan/prosedur yang bersumber dari rekam medis pasien. Apabila dalam melakukan pengkodean diagnosis atau tindakan/prosedur

koder

menemukan

kesulitan

ataupun

ketidaksesuaian dengan aturan umum pengkodean, maka koder harus melakukan klarifikasi dengan dokter.

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BAB IV APLIKASI INA-CBG Aplikasi INA-CBG merupakan aplikasi yang digunakan dalam program Jaminan Kesehatan Nasional (JKN) yang dimulai pada 1 Januari 2014. Aplikasi ini sebelumnya juga telah digunakan dalam program jaminan Kesehatan yang dicanangkan oleh pemerintah seperti JAMKESMAS pada tahun 2010 dengan versi sebelumnya. Aplikasi INA-CBG pertama kali dikembangkan dengan versi 1.5 yang berkembang sampai dengan saat ini menjadi versi 5 dengan pengembangan pada beberapa hal diantaranya : 1. Interface 2. Fitur 3. Grouper 4. Penambahan variable 5. Tarif INA-CBG 6. Modul Protokol Integrasi dengan SIMRS serta BPJS 7. Rancang bangun Pengumpulan data dari rumah sakit ke BPJS Kesehatan dan Kementerian Kesehatan RI Pada Aplikasi ini yang akan digunakan pada tahun 2016 telah mengalami perubahan yang cukup signifikan baik dari segi interface maupun rancang bangun alur pengiriman data. Aplikasi INA-CBG sampai saat ini telah digunakan oleh rumah sakit, balai dan klinik yang melayani peserta Jaminan Kesehatan Nasional (JKN) Rumah sakit, balai dan klinik yang akan menggunakan aplikasi ini diwajibkan memiliki kode registrasi yang dikeluarkan oleh Direktorat Jenderal Pelayanan Kesehatan Kementerian Kesehataan RI. Kode registrasi adalah kode bagi

Fasilitas

Kesehatan

(faskes)

yang

dikeluarkan

oleh

Kementerian

Kesehatan RI yang menyatakan bawah faskes telah terdaftar di Kementerian Kesehatan. Aplikasi INA-CBG diberikan secara gratis oleh Kementerian Kesehatan kepada faskes atau pihak lain yang memerlukan sesuai dengan kegunaannya. Persyaratan dan tatacara mendapatkan aplikasi INA-CBG adalah sebagai berikut :

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1. Bagi faskes yang belum memiliki kode registrasi a. Faskes terlebih dahulu melakukan pengurusan kode registrasi secara online melalui website : yankes.kemkes.go.id di Direktorat Jenderal Pelayanan Kesehatan Kementerian Kesehatan RI. b. Setelah mendapat kode registrasi, faskes diwajibkan menginformasikan kepada Pusat Pembiayaan dan Jaminan Kesehatan untuk dapat dimasukkan

dalam

aplikasi

INA-CBG

melalui

email

[email protected] atau dapat langsung diserahkan ke Pusat Pembiayaan dan Jaminan Kesehatan untuk selanjutnya database faskes akan diberikan melalui email atau diberikan secara langsung kepada faskes. c. Aplikasi INA-CBG versi 5 dapat diperoleh dengan cara : 1) Mengunduh secara online melalui website inacbg.kemkes.go.id pada menu download 2) Sekretariat Tim Tarif INA-CBG di Pusat Pembiayaan dan Jaminan Kesehatan Lantai 14, Gdg. Prof. Suyudi Kementerian Kesehatan RI. 3) Dapat menyalin dari faskes terdekat yang telah memiliki aplikasi INACBG versi 5 secara gratis 4) Tata cara instalasi dan operasional aplikasi dapat diunduh melalui website inacbg.kemkes.go.id pada menu download 2. Bagi faskes yang telah memiliki kode registrasi dan pihak lain yang memerlukan a. Bagi faskes yang telah memiliki kode registrasi, namun belum terdaftar dalam database INA-CBG versi 5 (setelah melakukan instalasi aplikasi dan melakukan setup data faskes, namun tidak ditemukan data faskes yang bersangkutan) dapat mengikuti langkah pada huruf b poin 1 diatas. b. Untuk mendapatkan aplikasi dapat mengikuti langkah pada huruf c diatas. Beberapa hal yang perlu diperhatikan sebelum faskes dapat menggunakan aplikasi INA-CBG versi 5 adalah melakukan pengecekan data setup faskes pada aplikasi dengan kondisi faskes yang bersangkutan, beberapa hal sebagai berikut :

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1. Data Tarif faskes yang tertera dalam aplikasi sudah sesuai dengan kelas faskes yang bersangkutan, dapat dilihat pada bagian kanan atas. Kelas tarif INA-CBG faskes disesuaikan dengan SK Penetapan Kelas sesuai dengan peraturan yang berlaku. 2. Data regionalisasi faskes sesuai dengan peraturan yang berlaku 3. Apabila ada ketidaksesuaian mengenai 2 point tersebut diatas, faskes diwajibkan untuk melakukan pembaharuan (updating) data ke Sekretariat Tim Tarif INA-CBG melalui email [email protected] atau datang langsung ke Sekretariat Tim Tarif INA-CBG. 4. Database hasil updating akan diupload melalui website inacbg.kemkes.go.id dan faskes dapat mendownload setelah mendapatkan feedback dari Sekretariat Tim Tarif INA-CBG melalui email. Setiap pembaharuan informasi mengenai sistem INA-CBG dan pendukungnya akan dipublikasikan dalam website inacbg.kemkes.go.id. Pertanyaan dan pemecahan masalah mengenai aplikasi INA-CBG versi 5 dapat diemail ke [email protected] pada Subject email diberi judul sebagai berikut : • •

Perihal Updating database

 UPDATE_KELAS_NAMA RS_KDRS

Perihal Penyesuaian Regionalisasi

 UPDATE_REG_NAMA RS_KDRS

Perihal Pemecahan Masalah Lain

 LAIN2_APLIKASI_NAMA RS_KDRS

Contoh : UPDATE_AP_RS NCC_123456 Mohon pada badan email dapat diberikan informasi sebagai berikut : a. Kode faskes b. Nama faskes (HURUF BESAR) c. Alamat faskes (HURUF BESAR) d. Kabupaten/Kota (HURUF BESAR) e. Propinsi (HURUF BESAR) f. Kelas faskes g. Regional pada tarif INA-CBG

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BAB V PENUTUP Dalam metode pembayaran INA-CBG, terjadi perubahan cara pandang dan perilaku dalam pengelolaan rumah sakit serta pelayanan terhadap pasien. Rumah sakit harus memulai perubahan cara pandang dari pola pembayaran fee for service ke pembayaran dari mulai tingkat manajemen rumah sakit, dokter dan seluruh karyawan rumah sakit. Seluruh komponen dalam rumah sakit harus bisa bekerja sama untuk melakukan upaya efisiensi dan mutu pelayanan.dan memiliki komitmen untuk melakukan efisiensi karena inefisiensi di salah satu bagian rumah sakit akan menjadi beban seluruh komponen rumah sakit. Dalam proses pembentukan tarif INA-CBG dilakukan pengumpulan data keuangan secara agregat sehingga analisa kecukupan tarif juga harus menggunakan data agregat, tidak bisa lagi melihat kasus per kasus yang rugi atau untung, yang perlu dilihat adalah secara agregat pendapatan rumah sakit, hal ini dikarenakan dalam tarif INA-CBG yang terdiri dari 1.075 group tarif berlaku sistem subsidi silang antar group yang ada.

MENTERI KESEHATAN REPUBLIK INDONESIA, ttd NILA FARID MOELOEK

-1-

Daftar Kode Diagnosis untuk Pelayanan Sesuai dengan Kekhususan Rumah Sakit

A.

Rumah Sakit Khusus Kanker

Kode

Deskripsi

C000

Malignant neoplasm, external upper lip

C001

Malignant neoplasm, external lower lip

C002

Malignant neoplasm, external lip, unspecified

C003

Malignant neoplasm, upper lip, inner aspect

C004

Malignant neoplasm, lower lip, inner aspect

C005

Malignant neoplasm, lip, unspecified, inner aspect

C006

Malignant neoplasm, commissure of lip

C008

Malignant neoplasm, overlapping lesion of lip

C009

Malignant neoplasm, lip, unspecified

C01

Malignant neoplasm of base of tongue

C020

Malignant neoplasm, dorsal surface of tongue

C021

Malignant neoplasm, border of tongue

C022

Malignant neoplasm, ventral surface of tongue

C023

Malignant neoplasm, anterior two-thirds of tongue, part unspecified

C024

Malignant neoplasm, lingual tonsil

C028

Malignant neoplasm, overlapping lesion of tongue

C029

Malignant neoplasm, tongue, unspecified

C030

Malignant neoplasm, upper gum

C031

Malignant neoplasm, lower gum

C039

Malignant neoplasm, gum, unspecified

C040

Malignant neoplasm, anterior floor of mouth

C041

Malignant neoplasm, lateral floor of mouth

C048

Malignant neoplasm, overlapping lesion of floor of mouth

C049

Malignant neoplasm, floor of mouth, unspecified

C050

Malignant neoplasm, hard palate

C051

Malignant neoplasm, soft palate

C052

Malignant neoplasm, uvula

C058

Malignant neoplasm, overlapping lesion of palate

C059

Malignant neoplasm, palate, unspecified

C060

Malignant neoplasm, cheek mucosa

C061

Malignant neoplasm, vestibule of mouth

C062

Malignant neoplasm, retromolar area

C068

Malignant neoplasm, overlapping lesion of other and unspecified parts of mouth

C069

Malignant neoplasm, mouth, unspecified

C07

Malignant neoplasm of parotid gland

C080

Malignant neoplasm, submandibular gland

C081

Malignant neoplasm, sublingual gland

C088

Malignant neoplasm, overlapping lesion of major salivary glands

C089

Malignant neoplasm, major salivary gland, unspecified

C090

Malignant neoplasm, tonsillar fossa

C091

Malignant neoplasm, tonsillar pillar (anterior)(posterior)

C098

Malignant neoplasm, overlapping lesion of tonsil

-2-

Kode

Deskripsi

C099 C100

Malignant neoplasm, tonsil, unspecified Malignant neoplasm, vallecula

C101

Malignant neoplasm, anterior surface of epiglottis

C102

Malignant neoplasm, lateral wall of oropharynx

C103

Malignant neoplasm, posterior wall of oropharynx

C104

Malignant neoplasm, branchial cleft

C108

Malignant neoplasm, overlapping lesion of oropharynx

C109

Malignant neoplasm, oropharynx, unspecified

C110

Malignant neoplasm, superior wall of nasopharynx

C111

Malignant neoplasm, posterior wall of nasopharynx

C112

Malignant neoplasm, lateral wall of nasopharynx

C113

Malignant neoplasm, anterior wall of nasopharynx

C118

Malignant neoplasm, overlapping lesion of nasopharynx

C119

Malignant neoplasm, nasopharynx, unspecified

C12

Malignant neoplasm of pyriform sinus

C130

Malignant neoplasm, postcricoid region

C131

Malignant neoplasm, aryepiglottic fold, hypopharyngeal aspect

C132

Malignant neoplasm, posterior wall of hypopharynx

C138

Malignant neoplasm, overlapping lesion of hypopharynx

C139

Malignant neoplasm, hypopharynx, unspecified

C140

Malignant neoplasm, pharynx, unspecified

C141

Malignant neoplasm of laryngopharynx

C142

Malignant neoplasm, waldeyer's ring

C148

Malignant neoplasm, overlapping lesion of lip, oral cavity and pharynx

C150

Malignant neoplasm, cervical part of oesophagus

C151

Malignant neoplasm, thoracic part of oesophagus

C152

Malignant neoplasm, abdominal part of oesophagus

C153

Malignant neoplasm, upper third of oesophagus

C154

Malignant neoplasm, middle third of oesophagus

C155

Malignant neoplasm, lower third of oesophagus

C158

Malignant neoplasm, overlapping lesion of oesophagus

C159

Malignant neoplasm, oesophagus, unspecified

C160

Malignant neoplasm, cardia

C161

Malignant neoplasm, fundus of stomach

C162

Malignant neoplasm, body of stomach

C163

Malignant neoplasm, pyloric antrum

C164

Malignant neoplasm, pylorus

C165

Malignant neoplasm, lesser curvature of stomach, unspecified

C166

Malignant neoplasm, greater curvature of stomach, unspecified

C168

Malignant neoplasm, overlapping lesion of stomach

C169

Malignant neoplasm, stomach, unspecified

C170

Malignant neoplasm, duodenum

C171

Malignant neoplasm, jejunum

C172

Malignant neoplasm, ileum

C173

Malignant neoplasm, meckel's diverticulum

C178

Malignant neoplasm, overlapping lesion of small intestine

C179

Malignant neoplasm, small intestine, unspecified

C180

Malignant neoplasm, caecum

-3-

Kode

Deskripsi

C181

Malignant neoplasm, appendix

C182

Malignant neoplasm, ascending colon

C183

Malignant neoplasm, hepatic flexure

C184

Malignant neoplasm, transverse colon

C185

Malignant neoplasm, splenic flexure

C186

Malignant neoplasm, descending colon

C187

Malignant neoplasm, sigmoid colon

C188

Malignant neoplasm, overlapping lesion of colon

C189

Malignant neoplasm, colon, unspecified

C19

Malignant neoplasm of rectosigmoid junction

C20

Malignant neoplasm of rectum

C210

Malignant neoplasm, anus, unspecified

C211

Malignant neoplasm, anal canal

C212

Malignant neoplasm, cloacogenic zone

C218

Malignant neoplasm, overlapping lesion of rectum, anus and anal canal

C220

Malignant neoplasm, liver cell carcinoma

C221

Malignant neoplasm, intrahepatic bile duct carcinoma

C222

Malignant neoplasm, hepatoblastoma

C223

Malignant neoplasm, angiosarcoma of liver

C224

Malignant neoplasm, other sarcomas of liver

C227

Malignant neoplasm, other specified carcinomas of liver

C229

Malignant neoplasm, liver, unspecified

C23

Malignant neoplasm of gallbladder

C240

Malignant neoplasm, extrahepatic bile duct

C241

Malignant neoplasm, ampulla of vater

C248

Malignant neoplasm, overlapping lesion of biliary tract

C249

Malignant neoplasm, biliary tract, unspecified

C250

Malignant neoplasm, head of pancreas

C251

Malignant neoplasm, body of pancreas

C252

Malignant neoplasm, tail of pancreas

C253

Malignant neoplasm, pancreatic duct

C254

Malignant neoplasm, endocrine pancreas

C257

Malignant neoplasm, other parts of pancreas

C258

Malignant neoplasm, overlapping lesion of pancreas

C259

Malignant neoplasm, pancreas, unspecified

C260

Malignant neoplasm, intestinal tract, part unspecified

C261

Malignant neoplasm, spleen

C268

Malignant neoplasm, overlapping lesion of digestive system

C269

Malignant neoplasm, ill-defined sites within the digestive system

C300

Malignant neoplasm, nasal cavity

C301

Malignant neoplasm, middle ear

C310

Malignant neoplasm, maxillary sinus

C311

Malignant neoplasm, ethmoidal sinus

C312

Malignant neoplasm, frontal sinus

C313

Malignant neoplasm, sphenoidal sinus

C318

Malignant neoplasm, overlapping lesion of accessory sinuses

C319

Malignant neoplasm, accessory sinus, unspecified

C320

Malignant neoplasm, glottis

-4-

Kode

Deskripsi

C321

Malignant neoplasm, supraglottis

C322

Malignant neoplasm, subglottis

C323

Malignant neoplasm, laryngeal cartilage

C328

Malignant neoplasm, overlapping lesion of larynx

C329

Malignant neoplasm, larynx, unspecified

C33

Malignant neoplasm of trachea

C340

Malignant neoplasm, main bronchus

C341

Malignant neoplasm, upper lobe, bronchus or lung

C342

Malignant neoplasm, middle lobe, bronchus or lung

C343

Malignant neoplasm, lower lobe, bronchus or lung

C348

Malignant neoplasm, overlapping lesion of bronchus and lung

C349

Malignant neoplasm, bronchus or lung, unspecified

C37

Malignant neoplasm of thymus

C380

Malignant neoplasm, heart

C381

Malignant neoplasm, anterior mediastinum

C382

Malignant neoplasm, posterior mediastinum

C383

Malignant neoplasm, mediastinum, part unspecified

C384

Malignant neoplasm, pleura

C388

Malignant neoplasm, overlapping lesion of heart, mediastinum and pleura

C390

Malignant neoplasm, upper respiratory tract, part unspecified

C398

Malignant neoplasm, overlapping lesion of respiratory and intrathoracic organs

C399

Malignant neoplasm, ill-defined sites within the respiratory system

C400

Malignant neoplasm, scapula and long bones of upper limb

C401

Malignant neoplasm, short bones of upper limb

C402

Malignant neoplasm, long bones of lower limb

C403

Malignant neoplasm, short bones of lower limb

C408

Malignant neoplasm, overlapping lesion of bone and articular cartilage of limbs

C409

Malignant neoplasm, bone and articular cartilage of limb, unspecified

C410

Malignant neoplasm, bones of skull and face

C411

Malignant neoplasm, mandible

C412

Malignant neoplasm, vertebral column

C413

Malignant neoplasm, ribs, sternum and clavicle

C414

Malignant neoplasm, pelvic bones, sacrum and coccyx

C418

Malignant neoplasm, overlapping lesion of bone and articular cartilage

C419

Malignant neoplasm, bone and articular cartilage, unspecified

C430

Malignant melanoma of lip

C431

Malignant melanoma of eyelid, including canthus

C432

Malignant melanoma of ear and external auricular canal

C433

Malignant melanoma of other and unspecified parts of face

C434

Malignant melanoma of scalp and neck

C435

Malignant melanoma of trunk

C436

Malignant melanoma of upper limb, including shoulder

C437

Malignant melanoma of lower limb, including hip

C438

Malignant neoplasm, overlapping malignant melanoma of skin

C439

Malignant melanoma of skin, unspecified

C440

Malignant neoplasm, skin of lip

C441

Malignant neoplasm, skin of eyelid, including canthus

C442

Malignant neoplasm, skin of ear and external auricular canal

-5-

Kode

Deskripsi

C443

Malignant neoplasm, skin of other and unspecified parts of face

C444

Malignant neoplasm, skin of scalp and neck

C445

Malignant neoplasm, skin of trunk

C446

Malignant neoplasm, skin of upper limb, including shoulder

C447

Malignant neoplasm, skin of lower limb, including hip

C448

Malignant neoplasm, overlapping lesion of skin

C449

Malignant neoplasm of skin, unspecified

C450

Mesothelioma of pleura

C451

Mesothelioma of peritoneum

C452

Mesothelioma of pericardium

C457

Mesothelioma of other sites

C459

Mesothelioma, unspecified

C460

Kaposi's sarcoma of skin

C461

Kaposi's sarcoma of soft tissue

C462

Kaposi's sarcoma of palate

C463

Kaposi's sarcoma of lymph nodes

C467

Kaposi's sarcoma of other sites

C468

Kaposi's sarcoma of multiple organs

C469

Kaposi's sarcoma, unspecified

C470

Malignant neoplasm, peripheral nerves of head, face and neck

C471

Malignant neoplasm, peripheral nerves of upper limb, including shoulder

C472

Malignant neoplasm, peripheral nerves of lower limb, including hip

C473

Malignant neoplasm, peripheral nerves of thorax

C474

Malignant neoplasm, peripheral nerves of abdomen

C475

Malignant neoplasm, peripheral nerves of pelvis

C476

Malignant neoplasm, peripheral nerves of trunk, unspecified

C478

Malignant neoplasm, overlapping lesion peripheral nerve/autonomic nervous syst

C479

Malignant neoplasm, peripheral nerves and autonomic nervous system, unspecified

C480

Malignant neoplasm, retroperitoneum

C481

Malignant neoplasm, specified parts of peritoneum

C482

Malignant neoplasm, peritoneum, unspecified

C488

Malignant neoplasm, overlapping lesion of retroperitoneum and peritoneum

C490

Malignant neoplasm, connective and soft tissue of head, face and neck

C491

Malignant neoplasm, connective and soft tissue of upper limb, including shoulder

C492

Malignant neoplasm, connective and soft tissue of lower limb, including hip

C493

Malignant neoplasm, connective and soft tissue of thorax

C494

Malignant neoplasm, connective and soft tissue of abdomen

C495

Malignant neoplasm, connective and soft tissue of pelvis

C496

Malignant neoplasm, connective and soft tissue of trunk, unspecified

C498

Malignant neoplasm, overlapping lesion of connective and soft tissue

C499

Malignant neoplasm, connective and soft tissue, unspecified

C500

Malignant neoplasm, nipple and areola

C501

Malignant neoplasm, central portion of breast

C502

Malignant neoplasm, upper-inner quadrant of breast

C503

Malignant neoplasm, lower-inner quadrant of breast

C504

Malignant neoplasm, upper-outer quadrant of breast

C505

Malignant neoplasm, lower-outer quadrant of breast

C506

Malignant neoplasm, axillary tail of breast

-6-

Kode

Deskripsi

C508

Malignant neoplasm, overlapping lesion of breast

C509

Malignant neoplasm, breast, unspecified

C510

Malignant neoplasm, labium majus

C511

Malignant neoplasm, labium minus

C512

Malignant neoplasm, clitoris

C518

Malignant neoplasm, overlapping lesion of vulva

C519

Malignant neoplasm, vulva, unspecified

C52

Malignant neoplasm of vagina

C530

Malignant neoplasm, endocervix

C531

Malignant neoplasm, exocervix

C538

Malignant neoplasm, overlapping lesion of cervix uteri

C539

Malignant neoplasm, cervix uteri, unspecified

C540

Malignant neoplasm, isthmus uteri

C541

Malignant neoplasm, endometrium

C542

Malignant neoplasm, myometrium

C543

Malignant neoplasm, fundus uteri

C548

Malignant neoplasm, overlapping lesion of corpus uteri

C549

Malignant neoplasm, corpus uteri, unspecified

C55

Malignant neoplasm of uterus, part unspecified

C56

Malignant neoplasm of ovary

C570

Malignant neoplasm, fallopian tube

C571

Malignant neoplasm, broad ligament

C572

Malignant neoplasm, round ligament

C573

Malignant neoplasm, parametrium

C574

Malignant neoplasm, uterine adnexa, unspecified

C577

Malignant neoplasm, other specified female genital organs

C578

Malignant neoplasm, overlapping lesion of female genital organs

C579

Malignant neoplasm, female genital organ, unspecified

C58

Malignant neoplasm of placenta

C600

Malignant neoplasm, prepuce

C601

Malignant neoplasm, glans penis

C602

Malignant neoplasm, body of penis

C608

Malignant neoplasm, overlapping lesion of penis

C609

Malignant neoplasm, penis, unspecified

C61

Malignant neoplasm of prostate

C620

Malignant neoplasm, undescended testis

C621

Malignant neoplasm, descended testis

C629

Malignant neoplasm, testis, unspecified

C630

Malignant neoplasm, epididymis

C631

Malignant neoplasm, spermatic cord

C632

Malignant neoplasm, scrotum

C637

Malignant neoplasm, other specified male genital organs

C638

Malignant neoplasm, overlapping lesion of male genital organs

C639

Malignant neoplasm, male genital organ, unspecified

C64

Malignant neoplasm of kidney, except renal pelvis

C65

Malignant neoplasm of renal pelvis

C66

Malignant neoplasm of ureter

C670

Malignant neoplasm, trigone of bladder

-7-

Kode

Deskripsi

C671

Malignant neoplasm, dome of bladder

C672

Malignant neoplasm, lateral wall of bladder

C673

Malignant neoplasm, anterior wall of bladder

C674

Malignant neoplasm, posterior wall of bladder

C675

Malignant neoplasm, bladder neck

C676

Malignant neoplasm, ureteric orifice

C677

Malignant neoplasm, urachus

C678

Malignant neoplasm, overlapping lesion of bladder

C679

Malignant neoplasm, bladder, unspecified

C680

Malignant neoplasm, urethra

C681

Malignant neoplasm, paraurethral gland

C688

Malignant neoplasm, overlapping lesion of urinary organs

C689

Malignant neoplasm, urinary organ, unspecified

C690

Malignant neoplasm, conjunctiva

C691

Malignant neoplasm, cornea

C692

Malignant neoplasm, retina

C693

Malignant neoplasm, choroid

C694

Malignant neoplasm, ciliary body

C695

Malignant neoplasm, lacrimal gland and duct

C696

Malignant neoplasm, orbit

C698

Malignant neoplasm, overlapping lesion of eye and adnexa

C699

Malignant neoplasm, eye, unspecified

C700

Malignant neoplasm, cerebral meninges

C701

Malignant neoplasm, spinal meninges

C709

Malignant neoplasm, meninges, unspecified

C710

Malignant neoplasm, cerebrum, except lobes and ventricles

C711

Malignant neoplasm, frontal lobe

C712

Malignant neoplasm, temporal lobe

C713

Malignant neoplasm, parietal lobe

C714

Malignant neoplasm, occipital lobe

C715

Malignant neoplasm, cerebral ventricle

C716

Malignant neoplasm, cerebellum

C717

Malignant neoplasm, brain stem

C718

Malignant neoplasm, overlapping lesion of brain

C719

Malignant neoplasm, brain, unspecified

C720

Malignant neoplasm, spinal cord

C721

Malignant neoplasm, cauda equina

C722

Malignant neoplasm, olfactory nerve

C723

Malignant neoplasm, optic nerve

C724

Malignant neoplasm, acoustic nerve

C725

Malignant neoplasm, other and unspecified cranial nerves

C728

Malignant neoplasm, overlapping lesion of brain and other parts of cns

C729

Malignant neoplasm, central nervous system, unspecified

C73

Malignant neoplasm of thyroid gland

C740

Malignant neoplasm, cortex of adrenal gland

C741

Malignant neoplasm, medulla of adrenal gland

C749

Malignant neoplasm, adrenal gland, unspecified

C750

Malignant neoplasm, parathyroid gland

-8-

Kode

Deskripsi

C751

Malignant neoplasm, pituitary gland

C752

Malignant neoplasm, craniopharyngeal duct

C753

Malignant neoplasm, pineal gland

C754

Malignant neoplasm, carotid body

C755

Malignant neoplasm, aortic body and other paraganglia

C758

Malignant neoplasm, pluriglandular involvement, unspecified

C759

Malignant neoplasm, endocrine gland, unspecified

C760

Malignant neoplasm, head, face and neck

C761

Malignant neoplasm, thorax

C762

Malignant neoplasm, abdomen

C763

Malignant neoplasm, pelvis

C764

Malignant neoplasm, upper limb

C765

Malignant neoplasm, lower limb

C767

Malignant neoplasm, other ill-defined sites

C768

Malignant neoplasm, overlapping lesion of other and ill-defined sites

C770

Secondary malignant neoplasm, lymph nodes of head, face and neck

C771

Secondary malignant neoplasm, intrathoracic lymph nodes

C772

Secondary malignant neoplasm, intra-abdominal lymph nodes

C773

Secondary malignant neoplasm, axillary and upper limb lymph nodes

C774

Secondary malignant neoplasm, inguinal and lower limb lymph nodes

C775

Secondary malignant neoplasm, intrapelvic lymph nodes

C778

Secondary malignant neoplasm, lymph nodes of multiple regions

C779

Secondary malignant neoplasm, lymph node, unspecified

C780

Secondary malignant neoplasm of lung

C781

Secondary malignant neoplasm of mediastinum

C782

Secondary malignant neoplasm of pleura

C783

Secondary malignant neoplasm, other and unspecified respiratory organs

C784

Secondary malignant neoplasm of small intestine

C785

Secondary malignant neoplasm of large intestine and rectum

C786

Sec malignant neoplasm of retroperitoneum and peritoneum

C787

Secondary malignant neoplasm of liver

C788

Sec malignant neoplasm of other and unspec digestive organs

C790

Secondary malignant neoplasm of kidney and renal pelvis

C791

Sec malignant neo bladder and oth and unspec urinary organ

C792

Secondary malignant neoplasm of skin

C793

Secondary malignant neoplasm of brain and cerebral meninges

C794

Sec malignant neo of other and unspec parts of nervous sys

C795

Secondary malignant neoplasm of bone and bone marrow

C796

Secondary malignant neoplasm of ovary

C797

Secondary malignant neoplasm of adrenal gland

C798

Secondary malignant neoplasm of other specified sites

C80

Malignant neoplasm without specification of site

C810

Hodgkin's disease, Lymphocytic predominance

C811

Hodgkin's disease, Nodular sclerosis

C812

Hodgkin's disease, Mixed cellularity

C813

Hodgkin's disease, Lymphocytic depletion

C817

Other hodgkin's disease

C819

Hodgkin's disease, unspecified

-9-

Kode

Deskripsi

C820

Follicular non-hodgkin's lymphoma, Small cleaved cell, follicular

C821

Follicular non-hodgkin's lymphoma, Mixed small cleaved and large cell, follicular

C822

Follicular non-hodgkin's lymphoma, Large cell, follicular

C827

Other types of follicular non-hodgkin's lymphoma

C829

Follicular non-hodgkin's lymphoma, unspecified

C830

Diffuse non-hodgkin's lymphoma, Small cell (diffuse)

C831

Diffuse non-hodgkin's lymphoma, Small cleaved cell (diffuse)

C832

Diffuse non-hodgkin's lymphoma, Mixed small and large cell (diffuse)

C833

Diffuse non-hodgkin's lymphoma, Large cell (diffuse)

C834

Diffuse non-hodgkin's lymphoma, Immunoblastic (diffuse)

C835

Diffuse non-hodgkin's lymphoma, Lymphoblastic (diffuse)

C836

Diffuse non-hodgkin's lymphoma, Undifferentiated (diffuse)

C837

Diffuse non-hodgkin's lymphoma, Burkitt's tumour

C838

Other types of diffuse non-hodgkin's lymphoma

C839

Diffuse non-hodgkin's lymphoma, unspecified

C840

Peripheral and cutaneous T-cell lymphoma, Mycosis fungoides

C841

Peripheral and cutaneous T-cell lymphoma, Sezary's disease

C842

Peripheral and cutaneous T-cell lymphoma, T-zone lymphoma

C843

Peripheral and cutaneous T-cell lymphoma, Lymphoepithelioid lymphoma

C844

Peripheral t-cell lymphoma

C845

Other and unspecified t-cell lymphomas

C850

Lymphosarcoma

C851

B-cell lymphoma, unspecified

C857

Other specified types of non-hodgkin's lymphoma

C859

Non-hodgkin's lymphoma, unspecified type

C880

Waldenstram's macroglobulinaemia

C881

Alpha heavy chain disease

C882

Gamma heavy chain disease

C883

Immunoproliferative small intestinal disease

C887

Other malignant immunoproliferative diseases

C889

Malignant immunoproliferative diseases, unspecified

C900

Multiple myeloma

C901

Plasma cell leukaemia

C902

Plasmacytoma, extramedullary

C910

Acute lymphoblastic leukaemia

C911

Chronic lymphocytic leukaemia

C912

Subacute lymphocytic leukaemia

C913

Prolymphocytic leukaemia

C914

Hairy-cell leukaemia

C915

Adult t-cell leukaemia

C917

Other lymphoid leukaemia

C919

Lymphoid leukaemia, unspecified

C920

Acute myeloid leukaemia

C921

Chronic myeloid leukaemia

C922

Subacute myeloid leukaemia

C923

Myeloid sarcoma

C924

Acute promyelocytic leukaemia

C925

Acute myelomonocytic leukaemia

-10-

Kode

Deskripsi

C927

Other myeloid leukaemia

C929

Myeloid leukaemia, unspecified

C930

Acute monocytic leukaemia

C931

Chronic monocytic leukaemia

C932

Subacute monocytic leukaemia

C937

Other monocytic leukaemia

C939

Monocytic leukaemia, unspecified

C940

Acute erythraemia and erythroleukaemia

C941

Chronic erythraemia

C942

Acute megakaryoblastic leukaemia

C943

Mast cell leukaemia

C944

Acute panmyelosis

C945

Acute myelofibrosis

C947

Other specified leukaemias

C950

Acute leukaemia of unspecified cell type

C951

Chronic leukaemia of unspecified cell type

C952

Subacute leukaemia of unspecified cell type

C957

Other leukaemia of unspecified cell type

C959

Leukaemia, unspecified

C960

Letterer-siwe disease

C961

Malignant histiocytosis

C962

Malignant mast cell tumour

C963

True histiocytic lymphoma

C967

Other specified malignant neoplasm lymphoid, hematopoietic & related tissue

C969

Malignant neoplasm of lymphoid, haematopoietic and related tissue, unspecified

C97

Malignant neoplasms of independent (primary) multiple sites

D000

Carcinoma in situ of lip, oral cavity and pharynx

D001

Carcinoma in situ of oesophagus

D002

Carcinoma in situ of stomach

D010

Carcinoma in situ of colon

D011

Carcinoma in situ of rectosigmoid junction

D012

Carcinoma in situ of rectum

D013

Carcinoma in situ of anus and anal canal

D014

Carcinoma in situ of other and unspecified parts of intestine

D015

Carcinoma in situ of liver, gallbladder and bile ducts

D017

Carcinoma in situ of other specified digestive organs

D019

Carcinoma in situ of digestive organ, unspecified

D020

Carcinoma in situ of larynx

D021

Carcinoma in situ of trachea

D022

Carcinoma in situ of bronchus and lung

D023

Carcinoma in situ of other parts of respiratory system

D024

Carcinoma in situ of respiratory system, unspecified

D030

Melanoma in situ of lip

D031

Melanoma in situ of eyelid, including canthus

D032

Melanoma in situ of ear and external auricular canal

D033

Melanoma in situ of other and unspecified parts of face

D034

Melanoma in situ of scalp and neck

D035

Melanoma in situ of trunk

-11-

Kode

Deskripsi

D036

Melanoma in situ of upper limb, including shoulder

D037

Melanoma in situ of lower limb, including hip

D038

Melanoma in situ of other sites

D039

Melanoma in situ, unspecified

D040

Carcinoma in situ skin of lip

D041

Carcinoma in situ skin of eyelid, including canthus

D042

Carcinoma in situ skin of ear and external auricular canal

D043

Carcinoma in situ skin of other and unspecified parts of face

D044

Carcinoma in situ skin of scalp and neck

D045

Carcinoma in situ skin of trunk

D046

Carcinoma in situ skin of upper limb, including shoulder

D047

Carcinoma in situ skin of lower limb, including hip

D048

Carcinoma in situ skin of other sites

D049

Carcinoma in situ skin, unspecified

D050

Lobular carcinoma in situ

D051

Intraductal carcinoma in situ

D057

Other carcinoma in situ of breast

D059

Carcinoma in situ of breast, unspecified

D060

Carcinoma in situ of endocervix

D061

Carcinoma in situ of exocervix

D067

Carcinoma in situ of other parts of cervix

D069

Carcinoma in situ of cervix, unspecified

D070

Carcinoma in situ of endometrium

D071

Carcinoma in situ of vulva

D072

Carcinoma in situ of vagina

D073

Carcinoma in situ of other and unspecified female genital organs

D074

Carcinoma in situ of penis

D075

Carcinoma in situ of prostate

D076

Carcinoma in situ of other and unspecified male genital organs

D090

Carcinoma in situ of bladder

D091

Carcinoma in situ of other and unspecified urinary organs

D092

Carcinoma in situ of eye

D093

Carcinoma in situ of thyroid and other endocrine glands

D097

Carcinoma in situ of other specified sites

D099

Carcinoma in situ, unspecified

D100

Benign neoplasm, lip

D101

Benign neoplasm, tongue

D102

Benign neoplasm, floor of mouth

D103

Benign neoplasm, other and unspecified parts of mouth

D104

Benign neoplasm, tonsil

D105

Benign neoplasm, other parts of oropharynx

D106

Benign neoplasm, nasopharynx

D107

Benign neoplasm, hypopharynx

D109

Benign neoplasm, pharynx, unspecified

D110

Benign neoplasm, parotid gland

D117

Benign neoplasm, other major salivary glands

D119

Benign neoplasm, major salivary gland, unspecified

D120

Benign neoplasm, caecum

-12-

Kode

Deskripsi

D121

Benign neoplasm, appendix

D122

Benign neoplasm, ascending colon

D123

Benign neoplasm, transverse colon

D124

Benign neoplasm, descending colon

D125

Benign neoplasm, sigmoid colon

D126

Benign neoplasm, colon, unspecified

D127

Benign neoplasm, rectosigmoid junction

D128

Benign neoplasm, rectum

D129

Benign neoplasm, anus and anal canal

D130

Benign neoplasm, oesophagus

D131

Benign neoplasm, stomach

D132

Benign neoplasm, duodenum

D133

Benign neoplasm, other and unspecified parts of small intestine

D134

Benign neoplasm, liver

D135

Benign neoplasm, extrahepatic bile ducts

D136

Benign neoplasm, pancreas

D137

Benign neoplasm, endocrine pancreas

D139

Benign neoplasm, ill-defined sites within the digestive system

D140

Benign neoplasm, middle ear, nasal cavity and accessory sinuses

D141

Benign neoplasm, larynx

D142

Benign neoplasm, trachea

D143

Benign neoplasm, bronchus and lung

D144

Benign neoplasm, respiratory system, unspecified

D150

Benign neoplasm, thymus

D151

Benign neoplasm, heart

D152

Benign neoplasm, mediastinum

D157

Benign neoplasm, other specified intrathoracic organs

D159

Benign neoplasm, intrathoracic organ, unspecified

D160

Benign neoplasm, scapula and long bones of upper limb

D161

Benign neoplasm, short bones of upper limb

D162

Benign neoplasm, long bones of lower limb

D163

Benign neoplasm, short bones of lower limb

D164

Benign neoplasm, bones of skull and face

D165

Benign neoplasm, lower jaw bone

D166

Benign neoplasm, vertebral column

D167

Benign neoplasm, ribs, sternum and clavicle

D168

Benign neoplasm, pelvic bones, sacrum and coccyx

D169

Benign neoplasm, bone and articular cartilage, unspecified

D170

Benign lipomatous neopl skin/subcut tis head face & neck

D171

Benign lipomatous neoplasm skin and subcut tissue of trunk

D172

Benign lipomatous neoplasm skin and subcut tissue of limbs

D173

Benign lipomatous neopl skin/subcut tis other/unspec sites

D174

Benign lipomatous neoplasm of intrathoracic organs

D175

Benign lipomatous neoplasm of intra-abdominal organs

D176

Benign lipomatous neoplasm of spermatic cord

D177

Benign lipomatous neoplasm of other sites

D179

Benign lipomatous neoplasm, unspecified

D180

Haemangioma, any site

-13-

Kode

Deskripsi

D181

Lymphangioma, any site

D190

Benign neoplasm, mesothelial tissue of pleura

D191

Benign neoplasm, mesothelial tissue of peritoneum

D197

Benign neoplasm, mesothelial tissue of other sites

D199

Benign neoplasm, mesothelial tissue, unspecified

D200

Benign neoplasm, retroperitoneum

D201

Benign neoplasm, peritoneum

D210

Benign neoplasm, connective and other soft tissue of head, face and neck

D211

Benign neoplasm, connective and other soft tis of upper limb, inc shoulder

D212

Benign neoplasm, connective and other soft tissue of lower limb, inc hip

D213

Benign neoplasm, connective and other soft tissue of thorax

D214

Benign neoplasm, connective and other soft tissue of abdomen

D215

Benign neoplasm, connective and other soft tissue of pelvis

D216

Benign neoplasm, connective and other soft tissue of trunk, unspecified

D219

Benign neoplasm, connective and other soft tissue, unspecified

D220

Melanocytic naevi of lip

D221

Melanocytic naevi of eyelid, including canthus

D222

Melanocytic naevi of ear and external auricular canal

D223

Melanocytic naevi of other and unspecified parts of face

D224

Melanocytic naevi of scalp and neck

D225

Melanocytic naevi of trunk

D226

Melanocytic naevi of upper limb, including shoulder

D227

Melanocytic naevi of lower limb, including hip

D229

Melanocytic naevi, unspecified

D230

Benign neoplasm, skin of lip

D231

Benign neoplasm, skin of eyelid, including canthus

D232

Benign neoplasm, skin of ear and external auricular canal

D233

Benign neoplasm, skin of other and unspecified parts of face

D234

Benign neoplasm, skin of scalp and neck

D235

Benign neoplasm, skin of trunk

D236

Benign neoplasm, skin of upper limb, including shoulder

D237

Benign neoplasm, skin of lower limb, including hip

D239

Benign neoplasm, skin, unspecified

D24

Benign neoplasm of breast

D250

Submucous leiomyoma of uterus

D251

Intramural leiomyoma of uterus

D252

Subserosal leiomyoma of uterus

D259

Leiomyoma of uterus, unspecified

D260

Benign neoplasm, cervix uteri

D261

Benign neoplasm, corpus uteri

D267

Benign neoplasm, other parts of uterus

D269

Benign neoplasm, uterus, unspecified

D27

Benign neoplasm of ovary

D280

Benign neoplasm, vulva

D281

Benign neoplasm, vagina

D282

Benign neoplasm, uterine tubes and ligaments

D287

Benign neoplasm, other specified female genital organs

D289

Benign neoplasm, female genital organ, unspecified

-14-

Kode

Deskripsi

D290

Benign neoplasm, penis

D291

Benign neoplasm, prostate

D292

Benign neoplasm, testis

D293

Benign neoplasm, epididymis

D294

Benign neoplasm, scrotum

D297

Benign neoplasm, other male genital organs

D299

Benign neoplasm, male genital organ, unspecified

D300

Benign neoplasm, kidney

D301

Benign neoplasm, renal pelvis

D302

Benign neoplasm, ureter

D303

Benign neoplasm, bladder

D304

Benign neoplasm, urethra

D307

Benign neoplasm, other urinary organs

D309

Benign neoplasm, urinary organ, unspecified

D310

Benign neoplasm, conjunctiva

D311

Benign neoplasm, cornea

D312

Benign neoplasm, retina

D313

Benign neoplasm, choroid

D314

Benign neoplasm, ciliary body

D315

Benign neoplasm, lacrimal gland and duct

D316

Benign neoplasm, orbit, unspecified

D319

Benign neoplasm, eye, unspecified

D320

Benign neoplasm, cerebral meninges

D321

Benign neoplasm, spinal meninges

D329

Benign neoplasm, meninges, unspecified

D330

Benign neoplasm, brain, supratentorial

D331

Benign neoplasm, brain, infratentorial

D332

Benign neoplasm, brain, unspecified

D333

Benign neoplasm, cranial nerves

D334

Benign neoplasm, spinal cord

D337

Benign neoplasm, other specified parts of central nervous system

D339

Benign neoplasm, central nervous system, unspecified

D34

Benign neoplasm of thyroid gland

D350

Benign neoplasm, adrenal gland

D351

Benign neoplasm, parathyroid gland

D352

Benign neoplasm, pituitary gland

D353

Benign neoplasm, craniopharyngeal duct

D354

Benign neoplasm, pineal gland

D355

Benign neoplasm, carotid body

D356

Benign neoplasm, aortic body and other paraganglia

D357

Benign neoplasm, other specified endocrine glands

D358

Benign neoplasm, pluriglandular involvement

D359

Benign neoplasm, endocrine gland, unspecified

D360

Benign neoplasm, lymph nodes

D361

Benign neoplasm, peripheral nerves and autonomic nervous system

D367

Benign neoplasm, other specified sites

D369

Benign neoplasm of unspecified site

D370

Neoplasm of uncertain or unknown behaviour of lip, oral cavity and pharynx

-15-

Kode

Deskripsi

D371

Neoplasm of uncertain or unknown behaviour of stomach

D372

Neoplasm of uncertain or unknown behaviour of small intestine

D373

Neoplasm of uncertain or unknown behaviour of appendix

D374

Neoplasm of uncertain or unknown behaviour of colon

D375

Neoplasm of uncertain or unknown behaviour of rectum

D376

Neoplasm of uncertain or unknown behaviour of liver, gallbladder and bile ducts

D377

Neoplasm of uncertain or unknown behaviour of other digestive organs

D379

Neoplasm of uncertain or unknown behaviour of digestive organ, unspecified

D380

Neoplasm of uncertain or unknown behaviour of larynx

D381

Neoplasm of uncertain or unknown behaviour of trachea, bronchus and lung

D382

Neoplasm of uncertain or unknown behaviour of pleura

D383

Neoplasm of uncertain or unknown behaviour of mediastinum

D384

Neoplasm of uncertain or unknown behaviour of thymus

D385

Neoplasm of uncertain or unknown behaviour of other respiratory organs

D386

Neoplasm of uncertain or unknown behaviour of respiratory organ, unspecified

D390

Neoplasm of uncertain or unknown behaviour of uterus

D391

Neoplasm of uncertain or unknown behaviour of ovary

D392

Neoplasm of uncertain or unknown behaviour of placenta

D397

Neoplasm of uncertain or unknown behaviour of other female genital organs

D399

Neoplasm of uncertain or unknown behaviour of female genital organ, unspecified

D400

Neoplasm of uncertain or unknown behaviour of prostate

D401

Neoplasm of uncertain or unknown behaviour of testis

D407

Neoplasm of uncertain or unknown behaviour of other male genital organs

D409

Neoplasm of uncertain or unknown behaviour of male genital organ, unspecified

D410

Neoplasm of uncertain or unknown behaviour of kidney

D411

Neoplasm of uncertain or unknown behaviour of renal pelvis

D412

Neoplasm of uncertain or unknown behaviour of ureter

D413

Neoplasm of uncertain or unknown behaviour of urethra

D414

Neoplasm of uncertain or unknown behaviour of bladder

D417

Neoplasm of uncertain or unknown behaviour of other urinary organs

D419

Neoplasm of uncertain or unknown behaviour of urinary organ, unspecified

D420

Neoplasm of uncertain or unknown behaviour of cerebral meninges

D421

Neoplasm of uncertain or unknown behaviour of spinal meninges

D429

Neoplasm of uncertain or unknown behaviour of meninges, unspecified

D430

Neoplasm of uncertain or unknown behaviour of brain, supratentorial

D431

Neoplasm of uncertain or unknown behaviour of brain, infratentorial

D432

Neoplasm of uncertain or unknown behaviour of brain, unspecified

D433

Neoplasm of uncertain or unknown behaviour of cranial nerves

D434

Neoplasm of uncertain or unknown behaviour of spinal cord

D437

Neoplasm of uncertain or unknown behaviour of other parts of central nervous system

D439

Neoplasm of uncertain or unknown behaviour of central nervous system, unspecified

D440

Neoplasm of uncertain or unknown behaviour of thyroid gland

D441

Neoplasm of uncertain or unknown behaviour of adrenal gland

D442

Neoplasm of uncertain or unknown behaviour of parathyroid gland

D443

Neoplasm of uncertain or unknown behaviour of pituitary gland

D444

Neoplasm of uncertain or unknown behaviour of craniopharyngeal duct

D445

Neoplasm of uncertain or unknown behaviour of pineal gland

D446

Neoplasm of uncertain or unknown behaviour of carotid body

-16-

Kode

Deskripsi

D447

Neoplasm of uncertain or unknown behaviour of aortic body and other paraganglia

D448

Neoplasm of uncertain or unknown behaviour of pluriglandular involvement

D449

Neoplasm of uncertain or unknown behaviour of endocrine gland, unspecified

D45

Polycythaemia vera

D460

Refractory anaemia without sideroblasts, so stated

D461

Refractory anaemia with sideroblasts

D462

Refractory anaemia with excess of blasts

D463

Refractory anaemia with excess of blasts with transformation

D464

Refractory anaemia, unspecified

D467

Other myelodysplastic syndromes

D469

Myelodysplastic syndrome, unspecified

D470

Histiocytic and mast cell tumours uncertain and unknown behaviour

D471

Chronic myeloproliferative disease

D472

Monoclonal gammopathy

D473

Essential (haemorrhagic) thrombocythaemia

D477

D480

Other specified neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue Neoplasms of uncertain or unknown behaviour of lymphoid, haematopoietic and related tissue, unspecified Neoplasms of uncertain or unknown behaviour of bone and articular cartilage

D481

Neoplasms of uncertain or unknown behaviour of connective and other soft tissue

D482 D483

Neoplasms of uncertain or unknown behaviour of peripheral nerves and autonomic nervous system Neoplasms of uncertain or unknown behaviour of retroperitoneum

D484

Neoplasms of uncertain or unknown behaviour of peritoneum

D485

Neoplasms of uncertain or unknown behaviour of skin

D486

Neoplasms of uncertain or unknown behaviour of breast

D487

Neoplasms of uncertain or unknown behaviour of other specified sites

D489

Neoplasm of uncertain or unknown behaviour, unspecified

B210

HIV disease resulting in kaposi's sarcoma

B211

HIV disease resulting in burkitt's lymphoma

B212

HIV dis resulting oth types of non-hodgkin's lymphoma

B213

HIV dis result oth mal neo lymphoid haematopoietic rel tis

B217

HIV disease resulting in multiple malignant neoplasms

B218

HIV disease resulting in other malignant neoplasms

B219

HIV disease resulting in unspecified malignant neoplasm

Q858

Other phakomatoses, not elsewhere classified

Q859

Phakomatosis, unspecified

Z031

Observation for suspected malignant neoplasm

Z080

Follow-up examination after surgery for malignant neoplasm

Z081

Follow-up examination after radiotherapy for malignant neoplasm

Z082

Follow-up examination after chemotherapy for malignant neoplasm

Z087

Follow-up examination after combined treatment for malig neoplasm

Z088

Follow-up examination after other treatment for malignant neoplasm

Z089

Follow-up examination after unspecified treatment for malignant neoplasm

Z090

Follow-up examination after surgery for other conditions

Z091

Follow-up examination after radiotherapy for other conditions

Z092

Follow-up examination after chemotherapy for other conditions

Z098

Follow-up exam after other treatment for other conditions

D479

-17-

Kode

Deskripsi

Z120

Special screening examination for neoplasm of stomach

Z121

Special screening examination for neoplasm of intestinal tract

Z122

Special screening examination for neoplasm of respiratory organs

Z123

Special screening examination for neoplasm of breast

Z124

Special screening examination for neoplasm of cervix

Z125

Special screening examination for neoplasm of prostate

Z126

Special screening examination for neoplasm of bladder

Z128

Special screening examination for neoplasms of other sites

Z129

Special screening examination for neoplasm, unspecified

Z292

Other prophylactic chemotherapy

Z400

Prophylactic surgery for risk-factors related to malignant neoplasms

Z540

Convalescence following surgery

Z541

Convalescence following radiotherapy

Z542

Convalescence following chemotherapy

Z547

Convalescence following combined treatment

Z510

Radiotherapy Session

Z511

Chemotherapy Session for Neoplasm

Z512

Other chemotherapy

Z800

Family history of malignant neoplasm of digestive organs

Z801

Family history of malignant neoplasm of trachea, bronchus and lung

Z802

Family history of malignant neoplasm of other respiratory and intrathoracic orgs

Z803

Family history of malignant neoplasm of breast

Z804

Family history of malignant neoplasm of genital organs

Z805

Family history of malignant neoplasm of urinary tract

Z806

Family history of leukaemia

Z807 Z808

Famly history of other malignant neoplasms of lymphoid, heematopoietic and and related tissues Family history of malignant neoplasm of other organs or systems

Z809

Family history of malignant neoplasm, unspecified

Z850

Personal history of malignant neoplasm of digestive organs

Z851

Personal history of malignant neoplasm of trachea, bronchus and lung

Z852

Personal history malignant neoplasm of other respiratory and intrathoracic organs

Z853

Personal history of malignant neoplasm of breast

Z854

Personal history of malignant neoplasm of genital organs

Z855

Personal history of malignant neoplasm of urinary tract

Z856

Personal history of leukaemia

Z857 Z858

Personal history of other malignant neoplasms of lymphoid haematopoietic and related tissue Personal history of malignant neoplasms of other organs and system

Z859

Personal history of malignant neoplasm, unspecified

Z860

Personal history of other neoplasms

-18-

B.

Rumah Sakit Khusus Jantung dan Pembuluh Darah

Kode

Deskripsi

I00

Rheumatic fever without mention of heart involvement

I010

Acute rheumatic pericarditis

I011

Acute rheumatic endocarditis

I012

Acute rheumatic myocarditis

I018

Other acute rheumatic heart disease

I019

Acute rheumatic heart disease, unspecified

I020

Rheumatic chorea with heart involvement

I029

Rheumatic chorea without heart involvement

I050

Mitral stenosis

I051

Rheumatic mitral insufficiency

I052

Mitral stenosis with insufficiency

I058

Other mitral valve diseases

I059

Mitral valve disease, unspecified

I060

Rheumatic aortic stenosis

I061

Rheumatic aortic insufficiency

I062

Rheumatic aortic stenosis with insufficiency

I068

Other rheumatic aortic valve diseases

I069

Rheumatic aortic valve disease, unspecified

I070

Tricuspid stenosis

I071

Tricuspid insufficiency

I072

Tricuspid stenosis with insufficiency

I078

Other tricuspid valve diseases

I079

Tricuspid valve disease, unspecified

I080

Disorders of both mitral and aortic valves

I081

Disorders of both mitral and tricuspid valves

I082

Disorders of both aortic and tricuspid valves

I083

Combined disorders of mitral, aortic and tricuspid valves

I088

Other multiple valve diseases

I089

Multiple valve disease, unspecified

I090

Rheumatic myocarditis

I091

Rheumatic diseases of endocardium, valve unspecified

I092

Chronic rheumatic pericarditis

I098

Other specified rheumatic heart diseases

I099

Rheumatic heart disease, unspecified

I10

Essential (primary) hypertension

I110

Hypertensive heart disease with (congestive) heart failure

I119

Hypertensive heart disease without (congestive) heart failure

I120

Hypertensive renal disease with renal failure

I129

Hypertensive renal disease without renal failure

I130

Hypertens heart and renal dis with (congestive) heart failure

I131

Hypertensive heart and renal disease with renal failure

I132

Hyper heart and renal disease both (congestive) heart failure and renal failure

I139

Hypertensive heart and renal disease, unspecified

I150

Renovascular hypertension

I151

Hypertension secondary to other renal disorders

I152

Hypertension secondary to endocrine disorders

-19-

Kode

Deskripsi

I158

Other secondary hypertension

I159

Secondary hypertension, unspecified

I200

Unstable angina

I201

Angina pectoris with documented spasm

I208

Other forms of angina pectoris

I209

Angina pectoris, unspecified

I210

Acute transmural myocardial infarction of anterior wall

I211

Acute transmural myocardial infarction of inferior wall

I212

Acute transmural myocardial infarction of other sites

I213

Acute transmural myocardial infarction of unspecified site

I214

Acute subendocardial myocardial infarction

I219

Acute myocardial infarction, unspecified

I220

Subsequent myocardial infarction of anterior wall

I221

Subsequent myocardial infarction of inferior wall

I228

Subsequent myocardial infarction of other sites

I229

Subsequent myocardial infarction of unspecified site

I230

Haemopericardium as current complication following acute myocardial infarction

I231

Atrial septal defect as current complication following acute myocardial infarction

I232

I238

Ventricular septal defect as current complication following acute myocardial infarction Rupture cardiac wall without haemopericardium as current complication following acute myocardial infarction Rupture chordae tendineae as current complication following acut myocardial infarction Rupture of papilary muscle as current complication following acute myocardial infarction Thrombosis of atrium, auricular appendage ventricle as current complication following acute myocardial infarction Oth current complications following acute myocardial infarction

I240

Coronary thrombosis not resulting in myocardial infarction

I241

Dressler's syndrome

I248

Other forms of acute ischaemic heart disease

I249

Acute ischaemic heart disease, unspecified

I250

Atherosclerotic cardiovascular disease, so described

I251

Atherosclerotic heart disease

I252

Old myocardial infarction

I253

Aneurysm of heart

I254

Coronary artery aneurysm

I255

Ischaemic cardiomyopathy

I256

Silent myocardial ischaemia

I258

Other forms of chronic ischaemic heart disease

I259

Chronic ischaemic heart disease, unspecified

I260

Pulmonary embolism with mention of acute cor pulmonale

I269

Pulmonary embolism without mention of acute cor pulmonale

I270

Primary pulmonary hypertension

I271

Kyphoscoliotic heart disease

I272

Other secondary pulmonary hypertension

I278

Other specified pulmonary heart diseases

I279

Pulmonary heart disease, unspecified

I233 I234 I235 I236

-20-

Kode

Deskripsi

I280

Arteriovenous fistula of pulmonary vessels

I281

Aneurysm of pulmonary artery

I288

Other specified diseases of pulmonary vessels

I289

Disease of pulmonary vessels, unspecified

I300

Acute nonspecific idiopathic pericarditis

I301

Infective pericarditis

I308

Other forms of acute pericarditis

I309

Acute pericarditis, unspecified

I310

Chronic adhesive pericarditis

I311

Chronic constrictive pericarditis

I312

Haemopericardium, not elsewhere classified

I313

Pericardial effusion (noninflammatory)

I318

Other specified diseases of pericardium

I319

Disease of pericardium, unspecified

I320

Pericarditis in bacterial diseases classified elsewhere

I321

Pericarditis in other infectious and parasitic diseases classified elsewhere

I328

Pericarditis in other diseases classified elsewhere

I330

Acute and subacute infective endocarditis

I339

Acute endocarditis, unspecified

I340

Mitral (valve) insufficiency

I341

Mitral (valve) prolapse

I342

Nonrheumatic mitral (valve) stenosis

I348

Other nonrheumatic mitral valve disorders

I349

Nonrheumatic mitral valve disorder, unspecified

I350

Aortic (valve) stenosis

I351

Aortic (valve) insufficiency

I352

Aortic (valve) stenosis with insufficiency

I358

Other aortic valve disorders

I359

Aortic valve disorder, unspecified

I360

Nonrheumatic tricuspid (valve) stenosis

I361

Nonrheumatic tricuspid (valve) insufficiency

I362

Nonrheumatic tricuspid (valve) stenosis with insufficiency

I368

Other nonrheumatic tricuspid valve disorders

I369

Nonrheumatic tricuspid valve disorder, unspecified

I370

Pulmonary valve stenosis

I371

Pulmonary valve insufficiency

I372

Pulmonary valve stenosis with insufficiency

I378

Other pulmonary valve disorders

I379

Pulmonary valve disorder, unspecified

I38

Endocarditis, valve unspecified

I390

Mitral valve disorders in diseases classified elsewhere

I391

Aortic valve disorders in diseases classified elsewhere

I392

Tricuspid valve disorders in diseases classified elsewhere

I393

Pulmonary valve disorders in diseases classified elsewhere

I394

Multiple valve disorders in diseases classified elsewhere

I398

Endocarditis, valve unspec, in diseases class elsewhere

I400

Infective myocarditis

I401

Isolated myocarditis

-21-

Kode

Deskripsi

I408

Other acute myocarditis

I409

Acute myocarditis, unspecified

I410

Myocarditis in bacterial diseases classified elsewhere

I411

Myocarditis in viral diseases classified elsewhere

I412

Myocarditis in other infectious and parasitic diseases classified elsewhere

I418

Myocarditis in other diseases classified elsewhere

I420

Dilated cardiomyopathy

I421

Obstructive hypertrophic cardiomyopathy

I422

Other hypertrophic cardiomyopathy

I423

Endomyocardial (eosinophilic) disease

I424

Endocardial fibroelastosis

I425

Other restrictive cardiomyopathy

I426

Alcoholic cardiomyopathy

I427

Cardiomyopathy due to drugs and other external agents

I428

Other cardiomyopathies

I429

Cardiomyopathy, unspecified

I430

Cardiomyopathy in infectious & parasitic diseases classified elsewhere

I431

Cardiomyopathy in metabolic diseases

I432

Cardiomyopathy in nutritional diseases

I438

Cardiomyopathy in other diseases classified elsewhere

I440

Atrioventricular block, first degree

I441

Atrioventricular block, second degree

I442

Atrioventricular block, complete

I443

Other and unspecified atrioventricular block

I444

Left anterior fascicular block

I445

Left posterior fascicular block

I446

Other and unspecified fascicular block

I447

Left bundle-branch block, unspecified

I450

Right fascicular block

I451

Other and unspecified right bundle-branch block

I452

Bifascicular block

I453

Trifascicular block

I454

Nonspecific intraventricular block

I455

Other specified heart block

I456

Pre-excitation syndrome

I458

Other specified conduction disorders

I459

Conduction disorder, unspecified

I460

Cardiac arrest with successful resuscitation

I461

Sudden cardiac death, so described

I469

Cardiac arrest, unspecified

I470

Re-entry ventricular arrhythmia

I471

Supraventricular tachycardia

I472

Ventricular tachycardia

I479

Paroxysmal tachycardia, unspecified

I48

Atrial fibrillation and flutter

I490

Ventricular fibrillation and flutter

I491

Atrial premature depolarization

I492

Junctional premature depolarization

-22-

Kode

Deskripsi

I493

Ventricular premature depolarization

I494

Other and unspecified premature depolarization

I495

Sick sinus syndrome

I498

Other specified cardiac arrhythmias

I499

Cardiac arrhythmia, unspecified

I500

Congestive heart failure

I501

Left ventricular failure

I509

Heart failure, unspecified

I510

Cardiac septal defect, acquired

I511

Rupture of chordae tendineae, not elsewhere classified

I512

Rupture of papillary muscle, not elsewhere classified

I513

Intracardiac thrombosis, not elsewhere classified

I514

Myocarditis, unspecified

I515

Myocardial degeneration

I516

Cardiovascular disease, unspecified

I517

Cardiomegaly

I518

Other ill-defined heart diseases

I519

Heart disease, unspecified

I520

Other heart disorders in bacterial diseases classified elsewhere

I521

Oth heart disorders in oth infectious and parasitic disease classified elsewhere

I528

Other heart disorders in other diseases classified elsewhere

I600

Subarachnoid haemorrhage from carotid siphon and bifurcation

I601

Subarachnoid haemorrhage from middle cerebral artery

I602

Subarachnoid haemorrhage from anterior communicating artery

I603

Subarachnoid haemorrhage from posterior communicating artery

I604

Subarachnoid haemorrhage from basilar artery

I605

Subarachnoid haemorrhage from vertebral artery

I606

Subarachnoid haemorrhage from other intracranial arteries

I607

Subarachnoid haemorrhage from intracranial artery, unspecified

I608

Other subarachnoid haemorrhage

I609

Subarachnoid haemorrhage, unspecified

I610

Intracerebral haemorrhage in hemisphere, subcortical

I611

Intracerebral haemorrhage in hemisphere, cortical

I612

Intracerebral haemorrhage in hemisphere, unspecified

I613

Intracerebral haemorrhage in brain stem

I614

Intracerebral haemorrhage in cerebellum

I615

Intracerebral haemorrhage, intraventricular

I616

Intracerebral haemorrhage, multiple localized

I618

Other intracerebral haemorrhage

I619

Intracerebral haemorrhage, unspecified

I620

Subdural haemorrhage (acute)(nontraumatic)

I621

Nontraumatic extradural haemorrhage

I629

Intracranial haemorrhage (nontraumatic), unspecified

I630

Cerebral infarct due to thrombosis of precerebral arteries

I631

Cerebral infarction due to embolism of precerebral arteries

I632

Cerebral infarction due unspecified occlusion or stenosis precerebral arteries

I633

Cerebral infarction due to thrombosis of cerebral arteries

I634

Cerebral infarction due to embolism of cerebral arteries

-23-

Kode

Deskripsi

I635

Cerebral infarction due unspecified occlusion or stenos cerebrl arteries

I636

Cerebral infarction due cerebral venous thrombosis, nonpyogenic

I638

Other cerebral infarction

I639

Cerebral infarction, unspecified

I64

Stroke, not specified as haemorrhage or infarction

I650

Occlusion and stenosis of vertebral artery

I651

Occlusion and stenosis of basilar artery

I652

Occlusion and stenosis of carotid artery

I653

Occlusion and stenosis of multip and bilat precerebral arteries

I658

Occlusion and stenosis of other precerebral artery

I659

Occlusion and stenosis of unspecified precerebral artery

I660

Occlusion and stenosis of middle cerebral artery

I661

Occlusion and stenosis of anterior cerebral artery

I662

Occlusion and stenosis of posterior cerebral artery

I663

Occlusion and stenosis of cerebellar arteries

I664

Occlusion and stenosis of multiple and bilat cerebral arts

I668

Occlusion and stenosis of other cerebral artery

I669

Occlusion and stenosis of unspecified cerebral artery

I670

Dissection of cerebral arteries, nonruptured

I671

Cerebral aneurysm, nonruptured

I672

Cerebral atherosclerosis

I673

Progressive vascular leukoencephalopathy

I674

Hypertensive encephalopathy

I675

Moyamoya disease

I676

Nonpyogenic thrombosis of intracranial venous system

I677

Cerebral arteritis, not elsewhere classified

I678

Other specified cerebrovascular diseases

I679

Cerebrovascular disease, unspecified

I680

Cerebral amyloid angiopathy

I681

Cerebral arteritis in infectious & parasitic diseases classified elsewhere

I682

Cerebral arteritis in other diseases classified elsewhere

I688

Other cerebrovascular disorders in diseases classified elsewhere

I690

Sequelae of subarachnoid haemorrhage

I691

Sequelae of intracerebral haemorrhage

I692

Sequelae of other nontraumatic intracranial haemorrhage

I693

Sequelae of cerebral infarction

I694

Sequelae of stroke, not specified as haemorrhage or infarction

I698

Sequelae of other and unspecified cerebrovascular diseases

I700

Atherosclerosis of aorta

I701

Atherosclerosis of renal artery

I702

Atherosclerosis of arteries of extremities

I708

Atherosclerosis of other arteries

I709

Generalized and unspecified atherosclerosis

I710

Dissection of aorta [any part]

I711

Thoracic aortic aneurysm, ruptured

I712

Thoracic aortic aneurysm, without mention of rupture

I713

Abdominal aortic aneurysm, ruptured

I714

Abdominal aortic aneurysm, without mention of rupture

-24-

Kode

Deskripsi

I715

Thoracoabdominal aortic aneurysm, ruptured

I716

Thoracoabdominal aortic aneurysm, without mention of rupture

I718

Aortic aneurysm of unspecified site, ruptured

I719

Aortic aneurysm of unspecified site, without mention of rupture

I720

Aneurysm of carotid artery

I721

Aneurysm of artery of upper extremity

I722

Aneurysm of renal artery

I723

Aneurysm of iliac artery

I724

Aneurysm of artery of lower extremity

I728

Aneurysm of other specified arteries

I729

Aneurysm of unspecified site

I730

Raynaud's syndrome

I731

Thromboangiitis obliterans [buerger]

I738

Other specified peripheral vascular diseases

I739

Peripheral vascular disease, unspecified

I740

Embolism and thrombosis of abdominal aorta

I741

Embolism and thrombosis of other and unspecified parts of aorta

I742

Embolism and thrombosis of arteries of upper extremities

I743

Embolism and thrombosis of arteries of lower extremities

I744

Embolism and thrombosis of arteries of extremities, unspecified

I745

Embolism and thrombosis of iliac artery

I748

Embolism and thrombosis of other arteries

I749

Embolism and thrombosis of unspecified artery

I770

Arteriovenous fistula, acquired

I771

Stricture of artery

I772

Rupture of artery

I773

Arterial fibromuscular dysplasia

I774

Coeliac artery compression syndrome

I775

Necrosis of artery

I776

Arteritis, unspecified

I778

Other specified disorders of arteries and arterioles

I779

Disorder of arteries and arterioles, unspecified

I780

Hereditary haemorrhagic telangiectasia

I781

Naevus, non-neoplastic

I788

Other diseases of capillaries

I789

Disease of capillaries, unspecified

I790

Aneurysm of aorta in diseases classified elsewhere

I791

Aortitis in diseases classified elsewhere

I792

Peripheral angiopathy in diseases classified elsewhere

I798

Oth disord arteries, arterioles & capillaries in diseases classified elsewhere

I800

Phlebitis and thrombophlebitis superficial vessels low extremities

I801

Phlebitis and thrombophlebitis of femoral vein

I802

Phlebitis and thrombophlebitis oth deep vessels low extremities

I803

Phlebitis and thrombophlebitis of lower extremities, unspecified

I808

Phlebitis and thrombophlebitis of other sites

I809

Phlebitis and thrombophlebitis of unspecified site

I81

Portal vein thrombosis

I820

Budd-chiari syndrome

-25-

Kode

Deskripsi

I821

Thrombophlebitis migrans

I822

Embolism and thrombosis of vena cava

I823

Embolism and thrombosis of renal vein

I828

Embolism and thrombosis of other specified veins

I829

Embolism and thrombosis of unspecified vein

I830

Varicose veins of lower extremities with ulcer

I831

Varicose veins of lower extremities with inflammation

I832

Varicose veins low extremities with both ulcer and inflammation

I839

Varicose veins lower extremities without ulcer or inflammation

I840

Internal thrombosed haemorrhoids

I841

Internal haemorrhoids with other complications

I842

Internal haemorrhoids without complication

I843

External thrombosed haemorrhoids

I844

External haemorrhoids with other complications

I845

External haemorrhoids without complication

I846

Residual haemorrhoidal skin tags

I847

Unspecified thrombosed haemorrhoids

I848

Unspecified haemorrhoids with other complications

I849

Unspecified haemorrhoids without complication

I850

Oesophageal varices with bleeding

I859

Oesophageal varices without bleeding

I860

Sublingual varices

I861

Scrotal varices

I862

Pelvic varices

I863

Vulval varices

I864

Gastric varices

I868

Varicose veins of other specified sites

I870

Postphlebitic syndrome

I871

Compression of vein

I872

Venous insufficiency (chronic)(peripheral)

I878

Other specified disorders of veins

I879

Disorder of vein, unspecified

I880

Nonspecific mesenteric lymphadenitis

I881

Chronic lymphadenitis, except mesenteric

I888

Other nonspecific lymphadenitis

I889

Nonspecific lymphadenitis, unspecified

I890

Lymphoedema, not elsewhere classified

I891

Lymphangitis

I898

Other specified noninfective disorders lymphatic vessels and lymph nodes

I899

Noninfective disorder lymphatic vessels and lymph nodes, unspecified

I950

Idiopathic hypotension

I951

Orthostatic hypotension

I952

Hypotension due to drugs

I958

Other hypotension

I959

Hypotension, unspecified

I970

Postcardiotomy syndrome

I971

Other functional disturbances following cardiac surgery

I972

Postmastectomy lymphoedema syndrome

-26-

Kode

Deskripsi

I978

Other postprocedural disorders of circulatory system , not elsewhere classified

I979

Postprocedural disorder of circulatory system, unspecified

I980

Cardiovascular syphilis

I981

Cardiovascular disorder other infectious and parasitic diseases classified elsewhere

I982

Oesophageal varices in diseases classified elsewhere

I988

Other specified disorders of circulatory system in diseases classified elsewhere

I99

Other and unspecified disorders of circulatory system

Q200

Common arterial trunk

Q201

Double outlet right ventricle

Q202

Double outlet left ventricle

Q203

Discordant ventriculoarterial connection

Q204

Double inlet ventricle

Q205

Discordant atrioventricular connection

Q206

Isomerism of atrial appendages

Q208

Other congenital malformations of cardiac chambers and connections

Q209

Congenital malformation of cardiac chambers and connections unspecified

Q210

Ventricular septal defect

Q211

Atrial septal defect

Q212

Atrioventricular septal defect

Q213

Tetralogy of fallot

Q214

Aortopulmonary septal defect

Q218

Other congenital malformations of cardiac septa

Q219

Congenital malformation of cardiac septum, unspecified

Q220

Pulmonary valve atresia

Q221

Congenital pulmonary valve stenosis

Q222

Congenital pulmonary valve insufficiency

Q223

Other congenital malformations of pulmonary valve

Q224

Congenital tricuspid stenosis

Q225

Ebstein's anomaly

Q226

Hypoplastic right heart syndrome

Q228

Other congenital malformations of tricuspid valve

Q229

Congenital malformation of tricuspid valve, unspecified

Q230

Congenital stenosis of aortic valve

Q231

Congenital insufficiency of aortic valve

Q232

Congenital mitral stenosis

Q233

Congenital mitral insufficiency

Q234

Hypoplastic left heart syndrome

Q238

Other congenital malformations of aortic and mitral valves

Q239

Congenital malformation of aortic and mitral valves unspecified

Q240

Dextrocardia

Q241

Laevocardia

Q242

Cor triatriatum

Q243

Pulmonary infundibular stenosis

Q244

Congenital subaortic stenosis

Q245

Malformation of coronary vessels

Q246

Congenital heart block

Q248

Other specified congenital malformations of heart

Q249

Congenital malformation of heart, unspecified

-27-

Kode

Deskripsi

Q250

Patent ductus arteriosus

Q251

Coarctation of aorta

Q252

Atresia of aorta

Q253

Stenosis of aorta

Q254

Other congenital malformations of aorta

Q255

Atresia of pulmonary artery

Q256

Stenosis of pulmonary artery

Q257

Other congenital malformations of pulmonary artery

Q258

Other congenital malformations of great arteries

Q259

Congenital malformation of great arteries, unspecified

Q260

Congenital stenosis of vena cava

Q261

Persistent left superior vena cava

Q262

Total anomalous pulmonary venous connection

Q263

Partial anomalous pulmonary venous connection

Q264

Anomalous pulmonary venous connection, unspecified

Q265

Anomalous portal venous connection

Q266

Portal vein-hepatic artery fistula

Q268

Other congenital malformations of great veins

Q269

Congenital malformation of great vein, unspecified

Q270

Congenital absence and hypoplasia of umbilical artery

Q271

Congenital renal artery stenosis

Q272

Other congenital malformations of renal artery

Q273

Peripheral arteriovenous malformation

Q274

Congenital phlebectasia

Q278

Other specified congenitalo malformations of peripheral vascular system

Q279

Congenital malformation of peripheral vascular system unspecified

Q280

Arteriovenous malformation of precerebral vessels

Q281

Other malformations of precerebral vessels

Q282

Arteriovenous malformation of cerebral vessels

Q283

Other malformations of cerebral vessels

Q288

Other specified congenital malformations of circulatory system

Q289

Congenital malformation of circulatory system, unspecified

O100

P200

Pre-existing essential hypertension complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive heart disease complicating pregnancy, childbirth and the puerperium Pre-existing hypertensive renal disease complicating pregnancy, childbirth and puerperium Pre-existing hypertensive heart and renal disease complicating pregnancy, childbirth and the puerperium Pre-existing secondary hypertension complicating pregnancy, childbirth and the puerperium Unspecified pre-existing hypertension complicating pregnancy, childbirth and the puerperium Intrauterine hypoxia first noted before onset of labour

P201

Intrauterine hypoxia first noted during labour and delivery

P209

Intrauterine hypoxia, unspecified

P210

Severe birth asphyxia

P211

Mild and moderate birth asphyxia

O101 O102 O103 O104 O109

-28-

Kode

Deskripsi

P219

Birth asphyxia, unspecified

P220

Respiratory distress syndrome of newborn

P221

Transient tachypnoea of newborn

P228

Other respiratory distress of newborn

P229

Respiratory distress of newborn, unspecified

P230

Congenital pneumonia due to viral agent

P231

Congenital pneumonia due to chlamydia

P232

Congenital pneumonia due to staphylococcus

P233

Congenital pneumonia due to streptococcus, group b

P234

Congenital pneumonia due to escherichia coli

P235

Congenital pneumonia due to pseudomonas

P236

Congenital pneumonia due to other bacterial agents

P238

Congenital pneumonia due to other organisms

P239

Congenital pneumonia, unspecified

P240

Neonatal aspiration of meconium

P241

Neonatal aspiration of amniotic fluid and mucus

P242

Neonatal aspiration of blood

P243

Neonatal aspiration of milk and regurgitated food

P248

Other neonatal aspiration syndromes

P249

Neonatal aspiration syndrome, unspecified

P250

Interstitial emphysema originating in the perinatal period

P251

Pneumothorax originating in the perinatal period

P252

Pneumomediastinum originating in the perinatal period

P253

Pneumopericardium originating in the perinatal period

P258

Oth conds rel interstit emphysema orig in perinatal period

P260

Tracheobronchial haemorrhage origin in the perinatal period

P261

Massive pulmonary haemorrhage orig in the perinatal period

P268

Oth pulmonary haemorrhages originating in perinatal period

P269

Unspec pulmonary haemorrhage origin in the perinatal period

P270

Wilson-mikity syndrome

P271

Bronchopulmonary dysplasia origin in the perinatal period

P278

Other chronic resp diseases origin in the perinatal period

P279

Unspec chronic resp disease origin in the perinatal period

P280

Primary atelectasis of newborn

P281

Other and unspecified atelectasis of newborn

P282

Cyanotic attacks of newborn

P283

Primary sleep apnoea of newborn

P284

Other apnoea of newborn

P285

Respiratory failure of newborn

P288

Other specified respiratory conditions of newborn

P289

Respiratory condition of newborn, unspecified

P290

Neonatal cardiac failure

P291

Neonatal cardiac dysrhythmia

P292

Neonatal hypertension

P293

Persistent fetal circulation

P294

Transient myocardial ischaemia of newborn

P298

Oth cardiovascular disorders origin in the perinatal period

P299

Cardiovascular disorder origin in the perinatal period unsp

-29-

Kode

Deskripsi

R000

Tachycardia, unspecified

R001

Bradycardia, unspecified

R002

Palpitations

R008

Other and unspecified abnormalities of heart beat

R010

Benign and innocent cardiac murmurs

R011

Cardiac murmur, unspecified

R012

Other cardiac sounds

R02

Gangrene, not elsewhere classified

R030

Elevated blood-pressure reading without diagnosis of hypertension

R031

Nonspecific low blood-pressure reading

R040

Epistaxis

R041

Haemorrhage from throat

R042

Haemoptysis

R048

Haemorrhage from other sites in respiratory passages

R049

Haemorrhage from respiratory passages, unspecified

R05

Cough

R060

Dyspnoea

R061

Stridor

R062

Wheezing

R063

Periodic breathing

R064

Hyperventilation

R065

Mouth breathing

R066

Hiccough

R067

Sneezing

R068

Other and unspecified abnormalities of breathing

R070

Pain in throat

R071

Chest pain on breathing

R072

Precordial pain

R073

Other chest pain

R074

Chest pain, unspecified

R090

Asphyxia

R091

Pleurisy

R092

Respiratory arrest

R093

Abnormal sputum

R098

Other specified symptoms and signs involving circulatory and respiratory systems

Z034

Observation for suspected myocardial infarction

Z035

Observation for other suspected cardiovascular diseases

Z090


Z098


Z136

Special screening examination for cardiovascular disorders

Z450

Adjustment and management of cardiac pacemaker

Z452

Adjustment and management of vascular access device

Z950

Presence of cardiac pacemaker

Z951

Presence of aortocoronary bypass graft

Z952

Presence of prosthetic heart valve

Z953

Presence of xenogenic heart valve

Z954

Presence of other heart-valve replacement

Z955

Presence of coronary angioplasty implant and graft

-30-

Kode

Deskripsi

Z958

Presence of other cardiac and vascular implants and grafts

Z959

Presence of cardiac and vascular implant and graft unspec act

C.

Rumah Sakit Khusus Jiwa

Kode

Deskripsi

F000

Dementia in alzheimer's disease with early onset

F001

Dementia in alzheimer's disease with late onset

F002

Dementia in alzheimer's disease, atypical or mixed type

F009

Dementia in alzheimer's disease, unspecified

F010

Vascular dementia of acute onset

F011

Multi-infarct dementia

F012

Subcortical vascular dementia

F013

Mixed cortical and subcortical vascular dementia

F018

Other vascular dementia

F019

Vascular dementia, unspecified

F020

Dementia in Pick's disease

F021

Dementia in Creutzfeldt-Jakob disease

F022

Dementia in Huntington's disease

F023

Dementia in Parkinson's disease

F024

Dementia in human immunodef virus [HIV] disease

F028

Dementia in other specified diseases classified elsewhere

F03

Unspecified dementia

F04

Organic amnesic syndrome not induced alcohol/other psychoactive substances

F050

Delirium not superimposed on dementia, so described

F051

Delirium superimposed on dementia

F058

Other delirium

F059

Delirium, unspecified

F060

Organic hallucinosis

F061

Organic catatonic disorder

F062

Organic delusional [schizophrenia-like] disorder

F063

Organic mood [affective] disorders

F064

Organic anxiety disorder

F065

Organic dissociative disorder

F066

Organic emotionally labile [asthenic] disorder

F067

Mild cognitive disorder

F068

Other specified mental disorder brain damage and dysfunction/physcal disease

F069

Unspecified mental disorder brain damage and dysfunction/physcal disease

F070

Organic personality disorder

F071

Postencephalitic syndrome

F078 F079

Other organ personality behavioural disorders due to brain disease, damage dysfunction Unspecified organ personality behavioural disorder brain damage and dysfunction

F09

Unspecified organic or symptomatic mental disorder

F100

Mental & behavioural disorder due to use of alcohol: acute intoxication

F101

Mental & behavioural disorder due to use of alcohol: harmful use

-31-

Kode

Deskripsi

F102

Mental & behavioural disorder due to use of alcohol: dependence syndrome

F103

Mental & behavioural disorder due to use of alcohol: withdrawal state

F104

Mental & behavioural disorder due to use of alcohol: withdrawl state with delirium

F105

Mental & behavioural disorder due to use of alcohol: psychotic disorder

F106

Mental & behavioural disorder due to use of alcohol: amnesic syndrome

F107

F110

Mental & behavioural disorder due to use of alcohol: residual & late-onset psychotic disorder Mental & behavioural disorder due to use of alcohol: other mental & behavioural disorder Mental & behavioural disorder due to use of alcohol: unspecified mental & behavioural disorder Mental & behavioural disorder due to use of opiods: acute intoxication

F111

Mental & behavioural disorder due to use of opiods: harmful use

F112

Mental & behavioural disorder due to use of opiods: dependence syndrome

F113

Mental & behavioural disorder due to use of opiods: withdrawal state

F114

Mental & behavioural disorder due to use of opiods: withdrawl state with delirium

F115

Mental & behavioural disorder due to use of opiods: psychotic disorder

F116

Mental & behavioural disorder due to use of opiods: amnesic syndrome

F117

F120

Mental & behavioural disorder due to use of opiods: residual & late-onset psychotic disorder Mental & behavioural disorder due to use of opiods: other mental & behavioural disorder Mental & behavioural disorder due to use of opiods: unspecified mental & behavioural disorder Mental & behavioural disorder due to use of cannabinoids: acute intoxication

F121

Mental & behavioural disorder due to use of cannabinoids: harmful use

F122

Mental & behavioural disorder due to use of cannabinoids: dependence syndrome

F123

Mental & behavioural disorder due to use of cannabinoids: withdrawal state

F124 F125

Mental & behavioural disorder due to use of cannabinoids: withdrawl state with delirium Mental & behavioural disorder due to use of cannabinoids: psychotic disorder

F126

Mental & behavioural disorder due to use of cannabinoids: amnesic syndrome

F127

F130

Mental & behavioural disorder due to use of cannabinoids: residual & late-onset psychotic disorder Mental & behavioural disorder due to use of cannabinoids: other mental & behavioural disorder Mental & behavioural disorder due to use of cannabinoids: unspecified mental & behavioural disorder Mental & behavioural disorder due to use of sedatives or hypnotics: acute intoxication

F131

Mental & behavioural disorder due to use of sedatives or hypnotics: harmful use

F132

Mental & behavioural disorder due to use of sedatives or hypnotics: dependence syndrome Mental & behavioural disorder due to use of sedatives or hypnotics: withdrawal state

F108 F109

F118 F119

F128 F129

F133 F134 F135 F136 F137

Mental & behavioural disorder due to with delirium Mental & behavioural disorder due disorder Mental & behavioural disorder due syndrome Mental & behavioural disorder due to onset psychotic disorder

use of sedatives or hypnotics: withdrawl state to use of sedatives to use of sedatives

or hypnotics: psychotic or hypnotics: amnesic

use of sedatives or hypnotics: residual & late-

-32-

Kode F138

Deskripsi

F140

Mental & behavioural disorder due to use of sedatives or hypnotics: other mental & behavioural disorder Mental & behavioural disorder due to use of sedatives or hypnotics: unspecified mental & behavioural disorder Mental & behavioural disorder due to use of cocaine: acute intoxication

F141

Mental & behavioural disorder due to use of cocaine: harmful use

F142

Mental & behavioural disorder due to use of cocaine: dependence syndrome

F143

Mental & behavioural disorder due to use of cocaine: withdrawal state

F144

Mental & behavioural disorder due to use of cocaine: withdrawl state with delirium

F145

Mental & behavioural disorder due to use of cocaine: psychotic disorder

F146

Mental & behavioural disorder due to use of cocaine: amnesic syndrome

F147

F160

Mental & behavioural disorder due to use of cocaine: residual & late-onset psychotic disorder Mental & behavioural disorder due to use of cocaine: other mental & behavioural disorder Mental & behavioural disorder due to use of cocaine: unspecified mental & behavioural disorder Mental & behavioural disorder due to use of other stimulants, including caffeine: acute intoxication Mental & behavioural disorder due to use of other stimulants, including caffeine: harmful use Mental & behavioural disorder due to use of other stimulants, including caffeine: dependence syndrome Mental & behavioural disorder due to use of other stimulants, including caffeine: withdrawal state Mental & behavioural disorder due to use of other stimulants, including caffeine: withdrawl state with delirium Mental & behavioural disorder due to use of other stimulants, including caffeine: psychotic disorder Mental & behavioural disorder due to use of other stimulants, including caffeine: amnesic syndrome Mental & behavioural disorder due to use of other stimulants, including caffeine: residual & late-onset psychotic disorder Mental & behavioural disorder due to use of other stimulants, including caffeine: other mental & behavioural disorder Mental & behavioural disorder due to use of other stimulants, including caffeine: unspecified mental & behavioural disorder Mental & behavioural disorder due to use hallucinogens: acute intoxication

F161

Mental & behavioural disorder due to use hallucinogens: harmful use

F162

Mental & behavioural disorder due to use hallucinogens: dependence syndrome

F163

Mental & behavioural disorder due to use hallucinogens: withdrawal state

F164 F165

Mental & behavioural disorder due to use hallucinogens: withdrawl state with delirium Mental & behavioural disorder due to use hallucinogens: psychotic disorder

F166

Mental & behavioural disorder due to use hallucinogens: amnesic syndrome

F167

Mental & behavioural disorder due to use hallucinogens: residual & late-onset psychotic disorder Mental & behavioural disorder due to use hallucinogens: other mental & behavioural disorder Mental & behavioural disorder due to use hallucinogens: unspecified mental & behavioural disorder Mental & behavioural disorder due of tobacco: acute intoxication

F139

F148 F149 F150 F151 F152 F153 F154 F155 F156 F157 F158 F159

F168 F169 F170

-33-

Kode

Deskripsi

F171

Mental & behavioural disorder due of tobacco: harmful use

F172

Mental & behavioural disorder due of tobacco: dependence syndrome

F173

Mental & behavioural disorder due of tobacco: withdrawal state

F174

Mental & behavioural disorder due of tobacco: withdrawl state with delirium

F175

Mental & behavioural disorder due of tobacco: psychotic disorder

F176

Mental & behavioural disorder due of tobacco: amnesic syndrome

F177

Mental & behavioural disorder due of tobacco: residual & late-onset psychotic disorder

F178

Mental & behavioural disorder due of tobacco: other mental & behavioural disorder

F179 F180

Mental & behavioural disorder due of tobacco: unspecified mental & behavioural disorder Mental & behavioural disorder due of volatile solvents: acute intoxication

F181

Mental & behavioural disorder due of volatile solvents: harmful use

F182

Mental & behavioural disorder due of volatile solvents: dependence syndrome

F183

Mental & behavioural disorder due of volatile solvents: withdrawal state

F184

Mental & behavioural disorder due of volatile solvents: withdrawl state with delirium

F185

Mental & behavioural disorder due of volatile solvents: psychotic disorder

F186

Mental & behavioural disorder due of volatile solvents: amnesic syndrome

F187

F200

Mental & behavioural disorder due of volatile solvents: residual & late-onset psychotic disorder Mental & behavioural disorder due of volatile solvents: other mental & behavioural disorder Mental & behavioural disorder due of volatile solvents: unspecified mental & behavioural disorder Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: acute intoxication Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: harmful use Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: dependence syndrome Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: withdrawal state Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: withdrawl state with delirium Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: psychotic disorder Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: amnesic syndrome Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: residual & late-onset psychotic disorder Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: other mental & behavioural disorder Mental & behavioural disorder due to multiple drug use and use of other psychoactive substances: unspecified mental & behavioural disorder Paranoid schizophrenia

F201

Hebephrenic schizophrenia

F202

Catatonic schizophrenia

F203

Undifferentiated schizophrenia

F204

Post-schizophrenic depression

F205

Residual schizophrenia

F206

Simple schizophrenia

F208

Other schizophrenia

F188 F189 F190 F191 F192 F193 F194 F195 F196 F197 F198 F199

-34-

Kode

Deskripsi

F209

Schizophrenia, unspecified

F21

Schizotypal disorder

F220

Delusional disorder

F228

Other persistent delusional disorders

F229

Persistent delusional disorder, unspecified

F230

Acute polymorphic psychot disorder without symptoms of schizophrenia

F231

Acute polymorphic psychot disorder with symptoms of schizophrenia

F232

Acute schizophrenia-like psychotic disorder

F233

Other acute predominantly delusional psychotic disorders

F238

Other acute and transient psychotic disorders

F239

Acute and transient psychotic disorder, unspecified

F24

Induced delusional disorder

F250

Schizoaffective disorder, manic type

F251

Schizoaffective disorder, depressive type

F252

Schizoaffective disorder, mixed type

F258

Other schizoaffective disorders

F259

Schizoaffective disorder, unspecified

F28

Other nonorganic psychotic disorders

F29

Unspecified nonorganic psychosis

F300

Hypomania

F301

Mania without psychotic symptoms

F302

Mania with psychotic symptoms

F308

Other manic episodes

F309

Manic episode, unspecified

F310

Bipolar affective disorder, current episode hypomanic

F311

Bipolar affective disorder, current episode without psychotic symptoms

F312

Bipolar affective disorder, current episode manic with psychotic symptoms

F313

Bipolar affective disorder, current episode mild or moderate depression

F314 F315

Bipolar affective disorder, current episode severe depression without psychotic symptoms Bipolar affective disorder, current episode severe depression with psychotic symptoms

F316

Bipolar affective disorder, current episode mixed

F317

Bipolar affective disorder, currently in remission

F318

Other bipolar affective disorders

F319

Bipolar affective disorder, unspecified

F320

Mild depressive episode

F321

Moderate depressive episode

F322

Severe depressive episode without psychotic symptoms

F323

Severe depressive episode with psychotic symptoms

F328

Other depressive episodes

F329

Depressive episode, unspecified

F330

Recurrent depressive disorder, current episode mild

F331

Recurrent depressive disorder, current episode moderate

F332

Recurrent depress disorder current episode severe without symptoms

F333

Recurrent depress disorder current episode severe with psyc symp

F334

Recurrent depressive disorder, currently in remission

F338

Other recurrent depressive disorders

F339

Recurrent depressive disorder, unspecified

-35-

Kode

Deskripsi

F340

Cyclothymia

F341

Dysthymia

F348

Other persistent mood [affective] disorders

F349

Persistent mood [affective] disorder, unspecified

F380

Other single mood [affective] disorders

F381

Other recurrent mood [affective] disorders

F388

Other specified mood [affective] disorders

F39

Unspecified mood [affective] disorder

F400

Agoraphobia

F401

Social phobias

F402

Specific (isolated) phobias

F408

Other phobic anxiety disorders

F409

Phobic anxiety disorder, unspecified

F410

Panic disorder [episodic paroxysmal anxiety]

F411

Generalized anxiety disorder

F412

Mixed anxiety and depressive disorder

F413

Other mixed anxiety disorders

F418

Other specified anxiety disorders

F419

Anxiety disorder, unspecified

F420

Predominantly obsessional thoughts or ruminations

F421

Predominantly compulsive acts [obsessional rituals]

F422

Mixed obsessional thoughts and acts

F428

Other obsessive-compulsive disorders

F429

Obsessive-compulsive disorder, unspecified

F430

Acute stress reaction

F431

Post-traumatic stress disorder

F432

Adjustment disorders

F438

Other reactions to severe stress

F439

Reaction to severe stress, unspecified

F440

Dissociative amnesia

F441

Dissociative fugue

F442

Dissociative stupor

F443

Trance and possession disorders

F444

Dissociative motor disorders

F445

Dissociative convulsions

F446

Dissociative anaesthesia and sensory loss

F447

Mixed dissociative [conversion] disorders

F448

Other dissociative [conversion] disorders

F449

Dissociative [conversion] disorder, unspecified

F450

Somatization disorder

F451

Undifferentiated somatoform disorder

F452

Hypochondriacal disorder

F453

Somatoform autonomic dysfunction

F454

Persistent somatoform pain disorder

F458

Other somatoform disorders

F459

Somatoform disorder, unspecified

F480

Neurasthenia

F481

Depersonalization-derealization syndrome

-36-

Kode

Deskripsi

F488

Other specified neurotic disorders

F489

Neurotic disorder, unspecified

F500

Anorexia nervosa

F501

Atypical anorexia nervosa

F502

Bulimia nervosa

F503

Atypical bulimia nervosa

F504

Overeating associated with other psychological disturbances

F505

Vomiting associated with other psychological disturbances

F508

Other eating disorders

F509

Eating disorder, unspecified

F510

Nonorganic insomnia

F511

Nonorganic hypersomnia

F512

Nonorganic disorder of the sleep-wake schedule

F513

Sleepwalking [somnambulism]

F514

Sleep terrors [night terrors]

F515

Nightmares

F518

Other nonorganic sleep disorders

F519

Nonorganic sleep disorder, unspecified

F520

Lack or loss of sexual desire

F521

Sexual aversion and lack of sexual enjoyment

F522

Failure of genital response

F523

Orgasmic dysfunction

F524

Premature ejaculation

F525

Nonorganic vaginismus

F526

Nonorganic dyspareunia

F527

Excessive sexual drive

F528

Other sexual dysfunction not caused by organic disorder/disease

F529

Unspecified sexual dysfunction not caused by organic disorder or disease

F530

Mild mental and behavioural disorder associated with the puerperium NEC

F531

Severe mental and behavioural disorder associated with puerperium NEC

F538

Other mental and behavioural disorder associated with the puerperium NEC

F539

Puerperal mental disorder, unspecified

F54

Psychological and behavioural factor associated with disord or disease Classified elsewhere Abuse of non-dependence-producing substances

F55 F59 F600

Unspecified behavaviural syndrome associated with physiological disturbances and physical factor Paranoid personality disorder

F601

Schizoid personality disorder

F602

Dissocial personality disorder

F603

Emotionally unstable personality disorder

F604

Histrionic personality disorder

F605

Anankastic personality disorder

F606

Anxious [avoidant] personality disorder

F607

Dependent personality disorder

F608

Other specific personality disorders

F609

Personality disorder, unspecified

F61

Mixed and other personality disorders

-37-

Kode

Deskripsi

F620

Enduring personality change after catastrophic experience

F621

Enduring personality change after psychiatric illness

F628

Other enduring personality changes

F629

Enduring personality change, unspecified

F630

Pathological gambling

F631

Pathological fire-setting [pyromania]

F632

Pathological stealing [kleptomania]

F633

Trichotillomania

F638

Other habit and impulse disorders

F639

Habit and impulse disorder, unspecified

F640

Transsexualism

F641

Dual-role transvestism

F642

Gender identity disorder of childhood

F648

Other gender identity disorders

F649

Gender identity disorder, unspecified

F650

Fetishism

F651

Fetishistic transvestism

F652

Exhibitionism

F653

Voyeurism

F654

Paedophilia

F655

Sadomasochism

F656

Multiple disorders of sexual preference

F658

Other disorders of sexual preference

F659

Disorder of sexual preference, unspecified

F660

Sexual maturation disorder

F661

Egodystonic sexual orientation

F662

Sexual relationship disorder

F668

Other psychosexual development disorders

F669

Psychosexual development disorder, unspecified

F680

Elaboration of physical symptoms for psychological reasons

F681 F688

Intentional production/feigning of symptoms/disabilities either physical/psychological [factititous disorder) Other specified disorders of adult personality and behaviour

F69

Unspecified disorder of adult personality and behaviour

F700

Mild mental retardation: with statement no or minimal, impairment of behaviour

F701 F708

Mild mental retardation: significant impairment behaviour requiring attentiom / treatment Mild mental retardation: other impairments of behaviour

F709

Mild mental retardation: without mention of impairment behaviour

F710

Mod mental retardation: with statement no or minimal, impairment of behaviour

F711 F718

Mod mental retardation: significant impairment behaviour requiring attentiom / treatment Mod mental retardation: other impairments of behaviour

F719

Mod mental retardation: without mention of impairment behaviour

F720

Severe mental retardation: with statement no or minimal, impairment of behaviour

F721 F728

Severe mental retardation: significant impairment behaviour requiring attentiom / treatment Severe mental retardation: other impairments of behaviour

F729

Severe mental retardation: without mention of impairment behaviour

-38-

Kode

Deskripsi

F730

Profound mental retardation: with statement no or minimal, impairment of behavior

F731 F738

Profound mental retardation: significant impairment behaviour requiring attentiom / treatment Profound mental retardation: other impairments of behaviour

F739

Profound mental retardation: without mention of impairment behaviour

F780

other mental retardation: with statement no or minimal, impairment of behaviour

F781 F788

other mental retardation: significant impairment behaviour requiring attentiom / treatment other mental retardation: other impairments of behaviour

F789

other mental retardation: without mention of impairment behaviour

F790

Unspecified mental retardation: with statement no or minimal, impairment of behavior

F791 F798

Unspecified mental retardation: significant impairment behaviour requiring attentiom / treatment Unspecified mental retardation: other impairments of behaviour

F799

Unspecified mental retardation: without mention of impairment behaviour

F800

Specific speech articulation disorder

F801

Expressive language disorder

F802

Receptive language disorder

F803

Acquired aphasia with epilepsy [landau-kleffner]

F808

Other developmental disorders of speech and language

F809

Developmental disorder of speech and language, unspecified

F810

Specific reading disorder

F811

Specific spelling disorder

F812

Specific disorder of arithmetical skills

F813

Mixed disorder of scholastic skills

F818

Other developmental disorders of scholastic skills

F819

Developmental disorder of scholastic skills, unspecified

F82

Specific developmental disorder of motor function

F83

Mixed specific developmental disorders

F840

Childhood autism

F841

Atypical autism

F842

Rett's syndrome

F843

Other childhood disintegrative disorder

F844

Overactive disorder associated with mental retardation and stereotype movements

F845

Asperger's syndrome

F848

Other pervasive developmental disorders

F849

Pervasive developmental disorder, unspecified

F88

Other disorders of psychological development

F89

Unspecified disorder of psychological development

F900

Disturbance of activity and attention

F901

Hyperkinetic conduct disorder

F908

Other hyperkinetic disorders

F909

Hyperkinetic disorder, unspecified

F910

Conduct disorder confined to the family context

F911

Unsocialized conduct disorder

F912

Socialized conduct disorder

F913

Oppositional defiant disorder

F918

Other conduct disorders

F919

Conduct disorder, unspecified

-39-

Kode

Deskripsi

F920

Depressive conduct disorder

F928

Other mixed disorders of conduct and emotions

F929

Mixed disorder of conduct and emotions, unspecified

F930

Separation anxiety disorder of childhood

F931

Phobic anxiety disorder of childhood

F932

Social anxiety disorder of childhood

F933

Sibling rivalry disorder

F938

Other childhood emotional disorders

F939

Childhood emotional disorder, unspecified

F940

Elective mutism

F941

Reactive attachment disorder of childhood

F942

Disinhibited attachment disorder of childhood

F948

Other childhood disorders of social functioning

F949

Childhood disorder of social functioning, unspecified

F950

Transient tic disorder

F951

Chronic motor or vocal tic disorder

F952

Combined vocal multiple motor tic disorder [de la tourette]

F958

Other tic disorders

F959

Tic disorder, unspecified

F980

Nonorganic enuresis

F981

Nonorganic encopresis

F982

Feeding disorder of infancy and childhood

F983

Pica of infancy and childhood

F984

Stereotyped movement disorders

F985

Stuttering [stammering]

F986

Cluttering

F988

Other behavioral and emotional disorder onset usually ocurring childhood adolescence

F989 F99

Unspecified behavioral and emotional disorder onset usually ocurring childhood adolescence Mental disorder, not otherwise specified

G300

Alzheimer's disease with early onset

G301

Alzheimer's disease with late onset

G308

Other Alzheimer's disease

G309

Alzheimer's disease, unspecified

G470

Disorders of initiating and maintaining sleep [insomnias]

G471

Disorders of excessive somnolence [hypersomnias]

G472

Disorders of the sleep-wake schedule

G478

Other sleep disorders

G479

Sleep disorder, unspecified

Q900

Trisomy 21, meiotic nondisjunction

Q901

Trisomy 21, mosaicism (mitotic nondisjunction)

Q902

Trisomy 21, translocation

Q909

Down's syndrome, unspecified

Q910


Q911


Q912


Q913

Edwards' syndrome, unspecified

Q914


-40-

Kode

Deskripsi

Q915


Q916


Q917

Patau's syndrome, unspecified

Q932

Chromosome replaced with ring or dicentric

Q933

Deletion of short arm of chromosome 4

Q934

Deletion of short arm of chromosome 5

Q935

Other deletions of part of a chromosome

Q936

Deletions seen only at prometaphase

Q937

Deletions with other complex rearrangements

Q938

Other deletions from the autosomes

Q939

Deletion from autosomes, unspecified

R410

Disorientation, unspecified

R418 R440

Other and unspecified symptoms and signs involving cognitive functions and awareness Auditory hallucinations

R441

Visual hallucinations

R442

Other hallucinations

R443

Hallucinations, unspecified

R450

Nervousness

R451

Restlessness and agitation

R452

Unhappiness

R453

Demoralization and apathy

R454

Irritability and anger

R455

Hostility

R456

Physical violence

R457

State of emotional shock and stress, unspecified

R458

Other symptoms and signs involving emotional state

R460

Very low level of personal hygiene

R461

Bizarre personal appearance

R462

Strange and inexplicable behaviour

R463

Overactivity

R465

Suspiciousness and marked evasiveness

R466

Undue concern and preoccupation with stressful events

R467

Verbosity and circumstantial detail obscuring reason for contact

R468

Other symptoms and signs involving appearance and behaviour

R480

Dyslexia and alexia

R481

Agnosia

R482

Apraxia

R488

Other and unspecified symbolic dysfunctions

R54

Senility

R780

Finding of alcohol in blood

Z032

Observation for suspected mental and behavioural disorders

Z046

General psychiatric examination, requested by authority

Z093

Follow-up examination after psychotherapy

Z098


Z133

Special screening examination for mental and behavioural disorders

Z134

Special screening examination certain development disorders in childhood

Z504

Psychotherapy, nec

-41-

Kode

Deskripsi

Z505

Speech therapy

Z507

Occupational therapy and vocational rehabilitation, nec

Z508

Care involving use of other rehabilitation procedures

Z509

Care involving use of rehabilitation procedure, unspecified

Z543

Convalescence following psychotherapy

Z600

Problems of adjustment to life-cycle transitions

Z601

Atypical parenting situation

Z602

Living alone

Z603

Acculturation difficulty

Z604

Social exclusion and rejection

Z605

Target of perceived adverse discrimination and persecution

Z608

Other problems related to social environment

Z609

Problem related to social environment, unspecified

Z610

Loss of love relationship in childhood

Z611

Removal from home in childhood

Z612

Altered pattern of family relationships in childhood

Z613

Events resulting in loss of self-esteem in childhood

Z614 Z615

Problems related to alleged sexual abuse of child by person within primary support group Problems related to alleged sexual abuse of child by person out primary support group

Z616

Problems related to alleged physical abuse of child

Z617

Personal frightening experience in childhood

Z618

Other negative life events in childhood

Z619

Negative life event in childhood, unspecified

Z620

Inadequate parental supervision and control

Z621

Parental overprotection

Z622

Institutional upbringing

Z623

Hostility towards and scapegoating of child

Z624

Emotional neglect of child

Z625

Other problems related to neglect in upbringing

Z626

Inappropriate parental pressure and other abnormal qualities of upbringing

Z628

Other specified problems related to upbringing

Z629

Problem related to upbringing, unspecified

Z630

Problems in relationship with spouse or partner

Z631

Problems in relationship with parents and in-laws

Z632

Inadequate family support

Z633

Absence of family member

Z634

Disappearance and death of family member

Z635

Disruption of family by separation and divorce

Z636

Dependent relative needing care at home

Z637

Other stressful life events affecting family and household

Z638

Other specified problems related to primary support group

Z639

Problem related to primary support group, unspecified

Z640

Problems related to unwanted pregnancy

Z641

Problems related to multiparity

Z642

Seeking and accepting physical, nutritional and chemical intervention known to be hazardous harmful Seeking and accepting behavioural and psychological intervention known hazard and harmful

Z643

-42-

Kode

Deskripsi

Z644

Discord with counsellors

Z650

Conviction in civil and criminal proceedings without imprisonment

Z651

Imprisonment and other incarceration

Z652

Problems related to release from prison

Z653

Problems related to other legal circumstances

Z654

Victim of crime and terrorism

Z655

Exposure to disaster, war and other hostilities

Z658

Other specif problems related to psychosocial circumstances

Z659

Problem related to unspecified psychosocial circumstances

Z700

Counselling related to sexual attitude

Z701

Counselling related to patient's sexual behavior and orientation

Z702

Counselling related to patient's sexual behavior and orientation of third party

Z703 Z708

Counselling related to combined concerns regarding sexual attitude, behaviour and orientation Other sex counselling

Z709

Sex counselling, unspecified

Z710

Person consulting on behalf of another person

Z711

Person with feared complaint in whom no diagnosis is made

Z718

Other specified counselling

Z719

Counselling, unspecified

Z720

Tobacco use

Z721

Alcohol use

Z722

Drug use

Z723

Lack of physical exercise

Z724

Inappropriate diet and eating habits

Z725

High-risk sexual behaviour

Z726

Gambling and betting

Z728

Other problems related to lifestyle

Z729

Problem related to lifestyle, unspecified

Z730

Burn-out

Z731

Accentuation of personality traits

Z732

Lack of relaxation and leisure act

Z733

Stress, nec

Z734

Inadequate social skills, nec

Z735

Social role conflict, nec

Z736

Limitation of activities due to disability

Z738

Other problems related to life-management difficulty

Z739

Problem related to life-management difficulty, unspecified

Z740

Reduced mobility

Z741

Need for assistance with personal care

Z742

Need for assistance at home and no other household member able render care

Z743

Need for continuous supervision

Z748

Other problems related to care-provider dependency

Z749

Problem related to care-provider dependency, unspecified

Z750

Medical services not available in home

Z751

Person awaiting admission to adequate facility elsewhere

Z752

Other waiting period for investigation and treatment

Z753

Unavailability and inaccessibility of health-care facilities

-43-

Kode

Deskripsi

Z754

Unavailability and inaccessibility of other helping agencies

Z755

Holiday relief care

Z758

Other problems related to medical facilities and other health care

Z759

Unspecified problem related to medical facilities and other health care

Z810

Family history of mental retardation

Z811

Family history of alcohol abuse

Z812

Family history of tobacco abuse

Z813

Family history of other psychoactive substance abuse

Z814

Family history of other substance abuse

Z818

Family history of other mental and behavioural disorders

Z864

Personal history of psychoactive substance abuse

Z865

Personal history of other mental and behavioural disorders

D.

Rumah Sakit Khusus Paru

Kode A065

Deskripsi Amoebic lung abscess

A150

Tb lung confirm sputum microscopy with or without culture

A151

Tuberculosis of lung, confirmed by culture only

A152

Tuberculosis of lung, confirmed histologically

A153

Tuberculosis of lung, confirmed by unspecified means

A154

Tb intrathoracic lymph nodes confirm bact histologically

A155

Tuberculosis of larynx, trachea & bronchus conf bact/hist'y

A156

Tuberculous pleurisy, conf bacteriologically/his'y

A157

Primary respiratory TB confirm bact and histologically

A158

Other respiratory tb confirm bact and histologically

A159

Respiratory tb unspec confirm bact and histologically

A160

Tuberculosis of lung, bacteriologically & histolog'y neg

A161

Tuberculosis lung bact and histological examin not done

A162

Tb lung without mention of bact or histological confirm

A163

Tb intrathoracic lymph node without bact or hist confirm

A164

Tb larynx trachea and bronchus without bact or hist confirm

A165

Tb pleurisy without mention of bact or histological confirm

A167

Prim respiratory tb without mention of bact or hist confirm

A168

Oth respiratory tb without mention of bact or hist confirm

A169

Resp tb unspec without mention of bact or hist confirm

A202

Pneumonic plague

A212

Pulmonary tularaemia

A221

Pulmonary anthrax

A310

Pulmonary mycobacterial infection

A370

Whooping cough due to bordetella pertussis

A371

Whooping cough due to bordetella parapertussis

A378

Whooping cough due to other bordetella species

A379

Whooping cough, unspecified

A420

Pulmonary actinomycosis

A430

Pulmonary nocardiosis

A481

Legionnaires' disease

-44-

Kode

Deskripsi

A482

Nonpneumonic legionnaires' disease [pontiac fever]

B012

Varicella pneumonia

B052

Measles complicated by pneumonia

B330

Epidemic myalgia (Bornholm disease)

B334

Hantavirus (cardio)pulmonary syndrome [HPS] [HCPS]

B342

Middle East Respiratory Syndrome Corona Virus (Mers Cov)

B371

Pulmonary candidiasis

B380

Acute pulmonary coccidioidomycosis

B381

Chronic pulmonary coccidioidomycosis

B382

Pulmonary coccidioidomycosis, unspecified

B390

Acute pulmonary histoplasmosis capsulati

B391

Chronic pulmonary histoplasmosis capsulati

B392

Pulmonary histoplasmosis capsulati, unspecified

B400

Acute pulmonary blastomycosis

B401

Chronic pulmonary blastomycosis

B402

Pulmonary blastomycosis, unspecified

B410

Pulmonary paracoccidioidomycosis

B450

Pulmonary cryptococcosis

B460

Pulmonary mucormycosis

B583

Pulmonary toxoplasmosis

B59

Pneumocystosis

B664

Paragonimiasis

B671

Echinococcus granulosus infection of lung

B909

Sequelae of respiratory and unspecified tuberculosis

C33

Malignant neoplasm of trachea

C340

Malignant neoplasm, main bronchus

C341

Malignant neoplasm, upper lobe, bronchus or lung

C342

Malignant neoplasm, middle lobe, bronchus or lung

C343

Malignant neoplasm, lower lobe, bronchus or lung

C348

Malignant neoplasm, overlapping lesion of bronchus and lung

C349

Malignant neoplasm, bronchus or lung, unspecified

C381

Malignant neoplasm, anterior mediastinum

C382

Malignant neoplasm, posterior mediastinum

C383

Malignant neoplasm, mediastinum, part unspecified

C384

Malignant neoplasm, pleura

C388

Malignant neoplasm, overlapping lesion of heart, mediastinum and pleura

C398

Malignant neoplasm, overlapping lesion of respiratory and intrathoracic organs

C399

Malignant neoplasm, ill-defined sites within the respiratory system

C450

Mesothelioma of pleura

C457

Mesothelioma of other sites

C459

Mesothelioma, unspecified

C761

Malignant neoplasm, thorax

C780

Secondary malignant neoplasm of lung

C781

Secondary malignant neoplasm of mediastinum

C782

Secondary malignant neoplasm of pleura (Malignant pleural effusion)

C783

Secondary malignant neoplasm, other and unspecified respiratory organs

D021

Carcinoma in situ trachea

-45-

Kode

Deskripsi

D022

Carcinoma in situ bronchus and lung

D023

Carcinoma in situ other parts of respiratory system

D024

Carcinoma in situ respiratory system, unspecified

D142

Benign neoplasm, trachea

D143

Benign neoplasm, bronchus and lung

D144

Benign neoplasm, respiratory system, unspecified

D152

Benign neoplasm, mediastinum

D157

Benign neoplasm, other specified intrathoracic organs

D159

Benign neoplasm, intrathoracic organ, unspecified

D167


D174

Benign lipomatous neoplasm of intrathoracic organs

D190

Benign neoplasm, mesothelial tissue of pleura

D197


D199


D381

Neoplasm unc/unk, trachea, bronchus and lung

D382

Neoplasm unc/unk, pleura

D383

Neoplasm unc/unk, mediastinum

D384

Neoplasm unc/unk, thymus

D385

Neoplasm unc/unk, other respiratory organs

D386

Neoplasm unc/unk, respiratory organ, unspecified

D860

Sarcoidosis of lung

D861

Sarcoidosis of lymph nodes

D862

Sarcoidosis of lung with sarcoidosis of lymph nodes

D863

Sarcoidosis of skin

D868

Sarcoidosis of other and combined sites

D869

Sarcoidosis, unspecified

E662

Extreme obesity with alveolar hypoventilation (pickwickian syndrome)

E840

Cystic fibrosis with pulmonary manifestations

E841

Cystic fibrosis with intestinal manifestations

E848

Cystic fibrosis with other manifestations

E849

Cystic fibrosis, unspecified

G473

Sleep apnoea

I260

Pulmonary embolism with mention of acute cor pulmonale

I269

Pulmonary embolism without mention of acute cor pulmonale

J041

Acute tracheitis

J09

Influenza due to identified avian infliuenza virus

J100

Influenza with pneumonia, influenza virus identified

J110

Influenza with pneumonia, virus not identified

J120

Adenoviral pneumonia

J121

Respiratory syncytial virus pneumonia

J122

Parainfluenza virus pneumonia

J123

Human metapneumovirus pneumonia

J128

Other viral pneumonia

J129

Viral pneumonia, unspecified

J13

Pneumonia due to streptococcus pneumoniae

J14

Pneumonia due to haemophilus influenzae

J150

Pneumonia due to klebsiella pneumoniae

J151

Pneumonia due to pseudomonas

-46-

Kode

Deskripsi

J152

Pneumonia due to staphylococcus

J153

Pneumonia due to streptococcus, group B

J154

Pneumonia due to other streptococci

J155

Pneumonia due to escherichia coli

J156

Pneumonia due to other aerobic gram-negative bacteria

J157

Pneumonia due to mycoplasma pneumoniae

J158

Other bacterial pneumonia

J159

Bacterial pneumonia, unspecified

J160

Chlamydial pneumonia

J168

Pneumonia due to other specified infectious organisms

J170

Pneumonia in bacterial diseases classified elsewhere

J171

Pneumonia in viral diseases classified elsewhere

J172

Pneumonia in mycoses

J173

Pneumonia in parasitic diseases

J178

Pneumonia in other diseases classified elsewhere

J180

Bronchopneumonia, unspecified

J181

Lobar pneumonia, unspecified

J182

Hypostatic pneumonia, unspecified

J188

Other pneumonia, organism unspecified

J189

Pneumonia, unspecified

J200

Acute bronchitis due to mycoplasma pneumoniae

J201

Acute bronchitis due to haemophilus influenzae

J202

Acute bronchitis due to streptococcus

J203

Acute bronchitis due to coxsackievirus

J204

Acute bronchitis due to parainfluenza virus

J205

Acute bronchitis due to respiratory syncytial virus

J206

Acute bronchitis due to rhinovirus

J207

Acute bronchitis due to echovirus

J208

Acute bronchitis due to other specified organisms

J209

Acute bronchitis, unspecified

J210

Acute bronchiolitis due to respiratory syncytial virus

J211

Acute bronchiolitis due to human metapneumovirus

J218

Acute bronchiolitis due to other specified organisms

J219

Acute bronchiolitis, unspecified

J22

Unspecified acute lower respiratory infection

J40

Bronchitis, not specified as acute or chronic

J410

Simple chronic bronchitis

J411

Mucopurulent chronic bronchitis

J418

Mixed simple and mucopurulent chronic bronchitis

J42

Unspecified chronic bronchitis

J430

Macleod's syndrome

J431

Panlobular emphysema

J432

Centrilobular emphysema

J438

Other emphysema

J439

Emphysema, unspecified

J440

Chronic obstructive pulmonary disease with acute lower respiratory infection

-47-

Kode

Deskripsi

J441

Chronic obstructive pulmonary disease with acute exacerbation, unspecified

J448

Other specified chronic obstructive pulmonary disease

J449

Chronic obstructive pulmonary disease, unspecified

J450

Predominantly allergic asthma

J451

Nonallergic asthma

J458

Mixed asthma

J459

Asthma, unspecified

J46

Status asthmaticus

J47

Bronchiectasis

J60

Coalworker's pneumoconiosis

J61

Pneumoconiosis due to asbestos and other mineral fibres

J620

Pneumoconiosis due to talc dust

J628

Pneumoconiosis due to other dust containing silica

J630

Aluminosis (of lung)

J631

Bauxite fibrosis (of lung)

J632

Berylliosis

J633

Graphite fibrosis (of lung)

J634

Siderosis

J635

Stannosis

J638

Pneumoconiosis due to other specified inorganic dusts

J64

Unspecified pneumoconiosis

J65

Pneumoconiosis associated with tuberculosis

J660

Byssinosis

J661

Flax-dresser's disease

J662

Cannabinosis

J668

Airway disease due to other specific organic dusts

J670

Farmer's lung

J671

Bagassosis

J672

Bird fancier's lung

J673

Suberosis

J674

Maltworker's lung

J675

Mushroom-worker's lung

J676

Maple-bark-stripper's lung

J677

Air-conditioner and humidifier lung

J678

Hypersensitivity pneumonitis due to other organic dusts

J679

Hypersensitivity pneumonitis due to unspecified organic dust

J680

Bronchitis & pneumonitis due chemicals, gases fumes & vapours

J681

Acute pulmon'y oedema due chemicals, gases fumes & vapours

J682

Upper respiratory inflammation due to chemicals gases, fumes and vapour not elsewhere classified

J683

Other acute and subacute respiratory conditions due to chemicals, gases, fumes & vapours (Reactive airways dysfunction syndrome)

J684

Chronic respiratory conditions due chemicals, gases, fumes and vapours

J688

Other respiratory conditions due chemicals, gases fumes & vapours

J689

Unspecified respiratory conditions due chemicals, gases fumes & vapours

J690

Pneumonitis due to food and vomit

J691

Pneumonitis due to oils and essences

-48-

Kode

Deskripsi

J698

Pneumonitis due to other solids and liquids

J700

Acute pulmonary manifestations due to radiation

J701

Chronic and other pulmonary manifestations due to radiation

J702

Acute drug-induced interstitial lung disorders

J703

Chronic drug-induced interstitial lung disorders

J704

Drug-induced interstitial lung disorders, unspecified

J708

Respiratory conditions due to other specified external agents

J709

Respiratory conditions due to unspecified external agent

J80

Adult respiratory distress syndrome

J81

Pulmonary oedema

J82

Pulmonary eosinophilia, not elsewhere classified

J840

Alveolar and parietoalveolar conditions

J841

Other interstitial pulmonary diseases with fibrosis

J848

Other specified interstitial pulmonary diseases

J849

Interstitial pulmonary disease, unspecified

J850

Gangrene and necrosis of lung

J851

Abscess of lung with pneumonia

J852

Abscess of lung without pneumonia

J853

Abscess of mediastinum

J860

Pyothorax with fistula

J869

Pyothorax without fistula

J90

Pleural effusion, not elsewhere classified

J91

Pleural effusion in conditions classified elsewhere

J920

Pleural plaque with presence of asbestos

J929

Pleural plaque without asbestos

J930

Spontaneous tension pneumothorax

J931

Other spontaneous pneumothorax

J938

Other pneumothorax

J939

Pneumothorax, unspecified

J940

Chylous effusion

J941

Fibrothorax

J942

Haemothorax

J948

Other specified pleural conditions

J949

Pleural condition, unspecified

J950

Tracheostomy malfunction

J951

Acute pulmonary insufficiency following thoracic surgery

J952

Acute pulmonary insufficiency following nonthoracic surgery

J953

Chronic pulmonary insufficiency following surgery

J954

Mendelson's syndrome

J955

Postprocedural subglottic stenosis

J958

Other postprocedural respiratory disorders

J959

Postprocedural respiratory disorder, unspecified

J960

Acute respiratory failure

J961

Chronic respiratory failure

J969

Respiratory failure, unspecified

J980

Diseases of bronchus, not elsewhere classified

J981

Pulmonary collapse

J982

Interstitial emphysema

-49-

Kode

Deskripsi

J983

Compensatory emphysema

J984

Other disorders of lung

J985

Diseases of mediastinum, not elsewhere classified

J986

Disorders of diaphragm

J988

Other specified respiratory disorders

J989

Respiratory disorder, unspecified

J990

Rheumatoid lung disease

J991

Resp disorders in other diffuse connective tissue disorders

J998

Respiratory disorders in other diseases classified elsewhere

J998

Respiratory disorders in other diseases classified elsewhere

M051

Seropositive rheumatoid lung disease

M0510

Seropositive rheumatoid lung disease, multiple sites

M0511

Seropositive rheumatoid lung disease, shoulder region

M0512

Seropositive rheumatoid lung disease, upper arm

M0513

Seropositive rheumatoid lung disease, forearm

M0514

Seropositive rheumatoid lung disease, hand

M0515

Seropositive rheumatoid lung disease, pelvic/thigh

M0516

Seropositive rheumatoid lung disease, lower leg

M0517

Seropositive rheumatoid lung disease, ankle/foot

M0518

Seropositive rheumatoid lung disease, other sites

M0519

Seropositive rheumatoid lung disease, unspecified site

M9408

Costochondritis (costojunction inflammation)

P220

Respiratory distress syndrome of newborn

P228

Other respiratory distress of newborn

P230

Congenital pneumonia due to viral agent

P231

Congenital pneumonia due to chlamydia

P232

Congenital pneumonia due to staphylococcus

P233

Congenital pneumonia due to streptococcus, group b

P234

Congenital pneumonia due to escherichia coli

P235

Congenital pneumonia due to pseudomonas

P236

Congenital pneumonia due to other bacterial agents

P238

Congenital pneumonia due to other organisms

P239

Congenital pneumonia, unspecified

P240

Neonatal aspiration of meconium

P241

Neonatal aspiration of amniotic fluid and mucus

P242

Neonatal aspiration of blood

P243

Neonatal aspiration of milk and regurgitated food

P248

Other neonatal aspiration syndromes

P249

Neonatal aspiration syndrome, unspecified

P250

Interstitial emphysema originating in the perinatal period

P251

Pneumothorax originating in the perinatal period

P252

Pneumomediastinum originating in the perinatal period

P253

Pneumopericardium originating in the perinatal period

P258

Oth conds rel interstit emphysema orig in perinatal period

P260

Tracheobronchial haemorrhage origin in the perinatal period

P261

Massive pulmonary haemorrhage orig in the perinatal period

P268

Oth pulmonary haemorrhages originating in perinatal period

P269

Unspec pulmonary haemorrhage origin in the perinatal period

-50-

Kode

Deskripsi

P270

Wilson-mikity syndrome

P271

Bronchopulmonary dysplasia origin in the perinatal period

P278

Other chronic resp diseases origin in the perinatal period

P279

Unspec chronic resp disease origin in the perinatal period

P280

Primary atelectasis of newborn

P281

Other and unspecified atelectasis of newborn

P282

Cyanotic attacks of newborn

P283

Primary sleep apnoea of newborn

P284

Other apnoea of newborn

P285

Respiratory failure of newborn

P288

Other specified respiratory conditions of newborn

P289

Respiratory condition of newborn, unspecified

Q320

Congenital tracheomalacia

Q321

Other congenital malformations of trachea

Q322

Congenital bronchomalacia

Q323

Congenital stenosis of bronchus

Q324

Other congenital malformations of bronchus

Q330

Congenital cystic lung

Q331

Accessory lobe of lung

Q332

Sequestration of lung

Q333

Agenesis of lung

Q334

Congenital bronchiectasis

Q335

Ectopic tissue in lung

Q336

Hypoplasia and dysplasia of lung

Q338

Other congenital malformations of lung

Q339

Congenital malformation of lung, unspecified

Q340

Anomaly of pleura

Q341

Congenital cyst of mediastinum

Q348

Other spec congenital malformations of respiratory system

Q349

Congenital malformation of respiratory system, unspecified

Q676

Pectus excavatum

Q677

Pectus carinatum

Q678

Other congenital deformities of chest

Q766

Other congenital malformations of ribs

Q767

Congenital malformation of sternum

Q768

Other congenital malformations of bony thorax

Q769

Congenital malformation of bony thorax, unspecified

Q790

Congenital diaphragmatic hernia

Q791

Other congenital malformations of diaphragm

R042

Haemoptysis

R048

Haemorrhage from other sites in respiratory passages

R049

Haemorrhage from respiratory passages, unspecified

R05

Cough

R060

Dyspnoea

R061

Stridor

R062

Wheezing

R063

Periodic breathing

R064

Hyperventilation

-51-

Kode

Deskripsi

R066

Hiccough

R068

Other and unspecified abnormalities of breathing

R071

Chest pain on breathing

R090

Asphyxia

R091

Pleurisy

R092

Respiratory arrest

R093

Abnormal sputum

R098

Oth spec symptoms and signs involving circ and resp systems

R222

Localized swelling, mass and lump, trunk

R683

Clubbing of fingers

R761

Abnormal reaction to tuberculin test

R846

Abnormal findings in specimens from respiratory organs and thorax, abnormal cytological findings

R91

Abnormal findings on diagnostic imaging of lung

R942

Abnormal results of pulmonary function studies

S2220

Fracture of sternum, closed

S2221

Fracture of sternum, open

S2230

Fracture of rib, closed

S2231

Fracture of rib, open

S2240

Multiple fractures of ribs, closed

S2241

Multiple fractures of ribs, open

S2250

Flail chest, closed

S2251

Flail chest, open

S2280

Fracture of other parts of bony thorax, closed

S2281

Fracture of other parts of bony thorax, open

S2290

Fracture of bony thorax, part unspecified, closed

S2291

Fracture of bony thorax, part unspecified, open

S232

Dislocation of other and unspecified parts of thorax

S234

Sprain and strain of ribs and sternum

S2700

Traumatic pneumothorax, without open wound

S2701

Traumatic pneumothorax, with open wound

S2710

Traumatic haemothorax, withoutopen wound

S2711

Traumatic haemothorax, with open wound

S2720

Traumatic haemopneumothorax, without open wound

S2721

Traumatic haemopneumothorax, with open wound

S2730

Other injuries of lung, without open wound

S2731

Other injuries of lung, with open wound

S2740

Injury of bronchus, without open wound

S2741

Injury of bronchus, with open wound

S2750

Injury of thoracic trachea, without open wound

S2751

Injury of thoracic trachea, with open wound

S2760

Injury of pleura, without open wound

S2761

Injury of pleura, with open wound

S2770

Multiple injuries of intrathoracic organs, without open wound

S2771

Multiple injuries of intrathoracic organs, with open wound

S2780

Injury of other specified intrathoracic organs, without open wound

S2781

Injury of other specified intrathoracic organs, with open wound

S2790

Injury of unspecified intrathoracic organ, without open wound

-52-

Kode

Deskripsi

S2791

Injury of unspecified intrathoracic organ, with open wound

S280

Crushed chest

S281

Traumatic amputation of part of thorax

S290

Injury of muscle and tendon at thorax level

S297

Multiple injuries of thorax

S298

Other specified injuries of thorax

S299

Unspecified injury of thorax

S432

Dislocation of sternoclavicular joint

S436

Sprain and strain of sternoclavicular joint

T174

Foreign body in trachea

T175

Foreign body in bronchus

T178

Foreign body in other and multiple part of respiratory tract

T179

Foreign body in respiratory tract, part unspecified

T270

Burn of larynx and trachea

T271

Burn involving larynx and trachea with lung

T272

Burn of other parts of respiratory tract

T273

Burn of respiratory tract, part unspecified

T274

Corrosion of larynx and trachea

T275

Corrosion involving larynx and trachea with lung

T276

Corrosion of other parts of respiratory tract

T277

Corrosion of respiratory tract, part unspecified

T790

Air embolism (traumatic)

T791

Fat embolism (traumatic)

T797

Traumatic subcutaneous emphysema

T800

Air embolism following infusion transfusion & therap inject

T868

Failure and reject of other transplanted organs and tissues

T914

Sequelae of injury of intrathoracic organs

U049

Severe acute respiratory syndrome, unspecified

Z030

Observation for suspected tuberculosis

Z031


Z080


Z081


Z082


Z087


Z088


Z089


Z090


Z091

Follow-up examination after radiotherapy for oth conditions

Z092


Z098


Z111

Special screening examination for respiratory tuberculosis

Z122

Special screening examination for neoplasm of respiratory organs

Z201

Contact with and exposure to tuberculosis

Z232

Need for immunization against tuberculosis [BCG]

Z290

Isolation

Z430

Attention to tracheostomy

Z515

Palliative care

Z716

Tobacco abuse counselling

-53-

Kode

Deskripsi

Z717

Human immunodeficiency virus [HIV] counselling

Z718

Other specified counselling

Z719

Counselling, unspecified

Z720

Tobacco use

Z801


Z802

Family history of malignant neoplasm of other respiratory and intrathoracic organs

Z812

Family history of tobacco abuse

Z851

Personal history of malignant neoplasm of trachea, bronchus and lung

Z852

Personal history malignant neoplasm of other respiratory and intrathoracic organs

Z870 Z902

Personal history of diseases of the respiratory system Acquired absence of lung [part of]

Z942

Lung transplant status

Z943

Heart and lungs transplant status

E.

Rumah Sakit Khusus Kusta Kode

Deskripsi

A300

Indeterminate leprosy

A301

Tuberculoid leprosy

A302

Borderline tuberculoid leprosy

A303

Borderline leprosy

A304

Borderline lepromatous leprosy

A305

Lepromatous leprosy

A308

Other forms of leprosy

A309

Leprosy, unspecified

G510

Bell's palsy

G589

Mononeuropathy, unspecified

H022

Lagophthalmos

H611

Noninfective disorders of pinna

L52

Erythema nodosum

L538

Other specified erythematous conditions

L97

Ulcer of lower limb, not elsewhere classified

L984

Chronic ulcer of skin, not elsewhere classified

M200

Deformity of finger(s)

M201

Hallux valgus (acquired)

M202

Hallux rigidus

M203

Other deformity of hallux (acquired)

M204

Other hammer toe(s) (acquired)

M205

Other deformities of toe(s) (acquired)

M206

Acquired deformity of toe(s), unspecified

M210

Valgus deformity, not elsewhere classified

M2100

Valgus deformity, not elsewhere classified, multiple sites

M2101

Valgus deformity, not elsewhere classified, shoulder region

M2102

Valgus deformity, not elsewhere classified, upper arm

M2103

Valgus deformity, not elsewhere classified, forearm

-54-

Kode

Deskripsi

M2104

Valgus deformity, not elsewhere classified, hand

M2105

Valgus deformity, not elsewhere classified, pelvic and thigh

M2106

Valgus deformity, not elsewhere classified, lower leg

M2107

Valgus deformity, not elsewhere classified, ankle and foot

M2108

Valgus deformity, not elsewhere classified, other sites

M2109

Valgus deformity, not elsewhere classified, unspecified site

M211

Varus deformity, not elsewhere classified

M2110

Varus deformity, not elsewhere classified, multiple sites

M2111

Varus deformity, not elsewhere classified, shoulder region

M2112

Varus deformity, not elsewhere classified, upper arm

M2113

Varus deformity, not elsewhere classified, forearm

M2114

Varus deformity, not elsewhere classified, hand

M2115

Varus deformity, not elsewhere classified, pelvic and thigh

M2116

Varus deformity, not elsewhere classified, lower leg

M2117

Varus deformity, not elsewhere classified, ankle and foot

M2118

Varus deformity, not elsewhere classified, other sites

M2119

Varus deformity, not elsewhere classified, unspecified site

M212

Flexion deformity

M2120

Flexion deformity, multiple sites

M2121

Flexion deformity, shoulder region

M2122

Flexion deformity, upper arm

M2123

Flexion deformity, forearm

M2124

Flexion deformity, hand

M2125

Flexion deformity, pelvic and thigh

M2126

Flexion deformity, lower leg

M2127

Flexion deformity, ankle and foot

M2128

Flexion deformity, other sites

M2129

Flexion deformity, unspecified site

M213

Wrist or foot drop (acquired)

M2134

Wrist or foot drop (acquired), hand

M2137

Wrist or foot drop (acquired), ankle and foot

M214

Flat foot [pes planus] (acquired)

M2147

Flat foot [pes planus] (acquired), ankle and foot

M215

Acquired clawhand, clubhand, clawfoot and clubfoot

M2154

Acquired clawhand, clubhand, clawfoot and clubfoot, hand

M2157

Acquired clawhand, clubhand, clawfoot and clubfoot, ankle and foot

M216

Other acquired deformities of ankle and foot

M2167

Other acquired deformities of ankle and foot, ankle and foot

M217

Unequal limb length (acquired)

M2170

Unequal limb length (acquired), multiple sites

M2171

Unequal limb length (acquired), shoulder region

M2172

Unequal limb length (acquired), upper arm

M2173

Unequal limb length (acquired), forearm

M2174

Unequal limb length (acquired), hand

M2175

Unequal limb length (acquired), pelvic and thigh

M2176

Unequal limb length (acquired), lower leg

M2177

Unequal limb length (acquired), ankle and foot

M2178

Unequal limb length (acquired), other sites

-55-

Kode

Deskripsi

M2179

Unequal limb length (acquired), unspecified site

M218

Other specified acquired deformities of limbs

M2180

Other specified acquired deformities of limbs, multiple sites

M2181

Other specified acquired deformities of limbs, shoulder region

M2182

Other specified acquired deformities of limbs, upper arm

M2183

Other specified acquired deformities of limbs, forearm

M2184

Other specified acquired deformities of limbs, hand

M2185

Other specified acquired deformities of limbs, pelvic and thigh

M2186

Other specified acquired deformities of limbs, lower leg

M2187

Other specified acquired deformities of limbs, ankle and foot

M2188

Other specified acquired deformities of limbs, other sites

M2189

Other specified acquired deformities of limbs, unspecified site

M219

Acquired deformity of limb, unspecified

M2190

Acquired deformity of limb, unspecified, multiple sites

M2191

Acquired deformity of limb, unspecified, shoulder region

M2192

Acquired deformity of limb, unspecified, upper arm

M2193

Acquired deformity of limb, unspecified, forearm

M2194

Acquired deformity of limb, unspecified, hand

M2195

Acquired deformity of limb, unspecified, pelvic and thigh

M2196

Acquired deformity of limb, unspecified, lower leg

M2197

Acquired deformity of limb, unspecified, ankle and foot

M2198

Acquired deformity of limb, unspecified, other sites

M2199

Acquired deformity of limb, unspecified, unspecified site

M245

Contracture of joint

M256

Stiffness of joint, not elsewhere classified

M478 M792

Ant spinal and vertebral artery compression syndromes, sacral and sacrococcygeal region Neuralgia and neuritis, unspecified

M864

Chronic osteomyelitis with draining sinus

M869

Osteomyelitis, unspecified

M898

Other specified disorders of bone

M950

Acquired deformity of nose

R200

Anaesthesia of skin

R201

Hypoaesthesia of skin

R202

Paraesthesia of skin

Z015

Diagnostic skin and sensitization tests

Z098


Z440

Fitting and adjustment of artificial arm (complete)(partial)

Z441

Fitting and adjustment of artificial leg (complete)(partial)

Z448

Fitting and adjustment of other external prosthetic devices

Z449

Fitting and adjustment of unspecified external prosthetic device

Z501

Other physical therapy

Z507

Occupational therapy and vocational rehabilitation nec

Z508

Care involving use of other rehabilitation procedures

Z509

Care involving use of rehabilitation procedure, unspecified

Z831

Family history of other infectious and parasitic diseases

Z840

Family history of diseases of the skin and subcutaneous tissue

Z861

Personal history of infectious and parasitic diseases

-56-

Kode

Deskripsi

Z872

Personal history of disease of the skin and subcutaneous tissue

Z890

Acquired absence of finger(s) [including thumb], unilateral

Z891

Acquired absence of hand and wrist

Z892

Acquired absence of upper limb above wrist

Z893

Acquired absence of both upper limbs [any level]

Z894

Acquired absence of foot and ankle

Z895

Acquired absence of leg at or below knee

Z896

Acquired absence of leg above knee

Z897

Acquired absence of both lower limbs [any level, except toes alone]

Z898

Acquired absence of upper and lower limbs [any level]

Z899

Acquired absence of limb, unspecified

F. Rumah Sakit Khusus Ortopedi Kode

Deskripsi

M000

Staphylococcal arthritis and polyarthritis

M0000

Staphylococcal arthritis and polyarthritis, multiple sites

M0001

Staphylococcal arthritis and polyarthritis, shoulder region

M0002

Staphylococcal arthritis and polyarthritis, upper arm

M0003

Staphylococcal arthritis and polyarthritis, forearm

M0004

Staphylococcal arthritis and polyarthritis, hand

M0005

Staphylococcal arthritis and polyarthritis, pelvic and thigh

M0006

Staphylococcal arthritis and polyarthritis, lower leg

M0007

Staphylococcal arthritis and polyarthritis, ankle and foot

M0008

Staphylococcal arthritis and polyarthritis, other site

M0009

Staphylococcal arthritis and polyarthritis, unspecified site

M001

Pneumococcal arthritis and polyarthritis

M0010

Pneumococcal arthritis and polyarthritis, multiple sites

M0011

Pneumococcal arthritis and polyarthritis, shoulder region

M0012

Pneumococcal arthritis and polyarthritis, upper arm

M0013

Pneumococcal arthritis and polyarthritis, forearm

M0014

Pneumococcal arthritis and polyarthritis, hand

M0015

Pneumococcal arthritis and polyarthritis, pelvic and thigh

M0016

Pneumococcal arthritis and polyarthritis, lower leg

M0017

Pneumococcal arthritis and polyarthritis, ankle and foot

M0018

Pneumococcal arthritis and polyarthritis, other sites

M0019

Pneumococcal arthritis and polyarthritis, unspecified site

M002

Other streptococcal arthritis and polyarthritis

M0020

Other streptococcal arthritis and polyarthritis, multiple sites

M0021

Other streptococcal arthritis and polyarthritis, shoulder region

M0022

Other streptococcal arthritis and polyarthritis, upper arm

M0023

Other streptococcal arthritis and polyarthritis, forearm

M0024

Other streptococcal arthritis and polyarthritis, hand

-57-

Kode

Deskripsi

M0025

Other streptococcal arthritis and polyarthritis, pelvic and thigh

M0026

Other streptococcal arthritis and polyarthritis, lower leg

M0027

Other streptococcal arthritis and polyarthritis, ankle and foot

M0028

Other streptococcal arthritis and polyarthritis, other sites

M0029

Other streptococcal arthritis and polyarthritis, unspecified site

M008

Arthritis and polyarthritis due other specified bacterial agents

M0080

Arthritis and polyarthritis due other specified bacterial agents, multiple sites

M0081

Arthritis and polyarthritis due other specified bacterial agents, shouder region

M0082

Arthritis and polyarthritis due other specified bacterial agents, upper arm

M0083

Arthritis and polyarthritis due other specified bacterial agents, forearm

M0084

Arthritis and polyarthritis due other specified bacterial agents, hand

M0085

Arthritis and polyarthritis due other specified bacterial agents, pelvic and thigh

M0086

Arthritis and polyarthritis due other specified bacterial agents, lower leg

M0087

Arthritis and polyarthritis due other specified bacterial agents, ankle and foot

M0088

Arthritis and polyarthritis due other specified bacterial agents, other sites

M0089

Arthritis and polyarthritis due other specified bacterial agents, unspecified site

M009

Pyogenic arthritis, unspecified

M0090

Pyogenic arthritis, unspecified, multiple sites

M0091

Pyogenic arthritis, unspecified, shoulder region

M0092

Pyogenic arthritis, unspecified, upper arm

M0093

Pyogenic arthritis, unspecified, forearm

M0094

Pyogenic arthritis, unspecified, hand

M0095

Pyogenic arthritis, unspecified, pelvic and thigh

M0096

Pyogenic arthritis, unspecified, lower leg

M0097

Pyogenic arthritis, unspecified, ankle and foot

M0098

Pyogenic arthritis, unspecified, other sites

M0099

Pyogenic arthritis, unspecified, unspecified site

M010

Meningococcal arthritis

M0100

Meningococcal arthritis, multiple sites

M0101

Meningococcal arthritis, shoulder region

M0102

Meningococcal arthritis, upper arm

M0103

Meningococcal arthritis, forearm

M0104

Meningococcal arthritis, hand

M0105

Meningococcal arthritis, pelvic and thigh

M0106

Meningococcal arthritis, lower leg

M0107

Meningococcal arthritis, ankle and foot

M0108

Meningococcal arthritis, other sites

M0109

Meningococcal arthritis, unspecified site

M011

Tuberculous arthritis

M0110

Tuberculous arthritis, multiple sites

M0111

Tuberculous arthritis, shoulder region

M0112

Tuberculous arthritis, upper arm

-58-

Kode

Deskripsi

M0113

Tuberculous arthritis, forearm

M0114

Tuberculous arthritis, hand

M0115

Tuberculous arthritis, pelvic and thigh

M0116

Tuberculous arthritis, lower leg

M0117

Tuberculous arthritis, ankle and foot

M0118

Tuberculous arthritis, other sites

M0119

Tuberculous arthritis, unspecified site

M012

Arthritis in lyme disease

M0120

Arthritis in lyme disease, multiple sites

M0121

Arthritis in lyme disease, shoulder region

M0122

Arthritis in lyme disease, upper arm

M0123

Arthritis in lyme disease, forearm

M0124

Arthritis in lyme disease, hand

M0125

Arthritis in lyme disease, pelvic and thigh

M0126

Arthritis in lyme disease, lower leg

M0127

Arthritis in lyme disease, ankle and foot

M0128

Arthritis in lyme disease, other sites

M0129

Arthritis in lyme disease, unspecified site

M013

Arthritis in other bacterial diseases classified elsewhere

M0130

Arthritis in other bacterial diseases classified elsewhere, multiple sites

M0131

Arthritis in other bacterial diseases classified elsewhere, shouder region

M0132

Arthritis in other bacterial diseases classified elsewhere, upper arm

M0133

Arthritis in other bacterial diseases classified elsewhere, forearm

M0134

Arthritis in other bacterial diseases classified elsewhere, hand

M0135

Arthritis in other bacterial diseases classified elsewhere, pelvic and thigh

M0136

Arthritis in other bacterial diseases classified elsewhere, lower leg

M0137

Arthritis in other bacterial diseases classified elsewhere, ankle and foot

M0138

Arthritis in other bacterial diseases classified elsewhere, other sites

M0139

Arthritis in other bacterial diseases classified elsewhere, unspecified site

M014

Rubella arthritis

M0140

Rubella arthritis, multiple sites

M0141

Rubella arthritis, shoulder region

M0142

Rubella arthritis, upper arm

M0143

Rubella arthritis, forearm

M0144

Rubella arthritis, hand

M0145

Rubella arthritis, pelvic and thigh

M0146

Rubella arthritis, lower leg

M0147

Rubella arthritis, ankle and foot

M0148

Rubella arthritis, other sites

M0149

Rubella arthritis, unspecified site

M015

Arthritis in other viral diseases classified elsewhere

M0150

Arthritis in other viral diseases classified elsewhere, multiple sites

-59-

Kode

Deskripsi

M0151

Arthritis in other viral diseases classified elsewhere, shoulder region

M0152

Arthritis in other viral diseases classified elsewhere, upper arm

M0153

Arthritis in other viral diseases classified elsewhere, forearm

M0154

Arthritis in other viral diseases classified elsewhere, hand

M0155

Arthritis in other viral diseases classified elsewhere, pelvic and thigh

M0156

Arthritis in other viral diseases classified elsewhere, lower leg

M0157

Arthritis in other viral diseases classified elsewhere, ankle and foot

M0158

Arthritis in other viral diseases classified elsewhere, other sites

M0159

Arthritis in other viral diseases classified elsewhere, unspecified site

M016

Arhritis in mycoses

M0160

Arhritis in mycoses, multiple sites

M0161

Arhritis in mycoses, shoulder region

M0162

Arhritis in mycoses, upper arm

M0163

Arhritis in mycoses, forearm

M0164

Arhritis in mycoses, hand

M0165

Arhritis in mycoses, pelvic and thigh

M0166

Arhritis in mycoses, lower leg

M0167

Arhritis in mycoses, ankle and foot

M0168

Arhritis in mycoses, other sites

M0169

Arhritis in mycoses, unspecified site

M018

M0182

Arthritis Arthritis sites Arthritis region Arthritis

M0183

Arthritis in other infectious and parasitic diseases classified elsewhere, forearm

M0184

M020

Arthritis in other infectious and parasitic Arthritis in other infectious and parasitic thigh Arthritis in other infectious and parasitic Arthritis in other infectious and parasitic foot Arthritis in other infectious and parasitic Arthritis in other infectious and parasitic site Arthropathy following intestinal bypass

M0200

Arthropathy following intestinal bypass, multiple sites

M0201

Arthropathy following intestinal bypass, shoulder region

M0202

Arthropathy following intestinal bypass, upper arm

M0203

Arthropathy following intestinal bypass, forearm

M0204

Arthropathy following intestinal bypass, hand

M0205

Arthropathy following intestinal bypass, pelvic and thigh

M0206

Arthropathy following intestinal bypass, lower leg

M0207

Arthropathy following intestinal bypass, ankle and foot

M0180 M0181

M0185 M0186 M0187 M0188 M0189

in other infectious and parasitic diseases classified elsewhere in other infectious and parasitic diseases classified elsewhere, multiple in other infectious and parasitic diseases classified elsewhere, shoulder in other infectious and parasitic diseases classified elsewhere, upper arm diseases classified elsewhere, hand diseases classified elsewhere, pelvic and diseases classified elsewhere, lower leg diseases classified elsewhere, ankle and diseases classified elsewhere, other sites diseases classified elsewhere, unspecified

-60-

Kode

Deskripsi

M0208

Arthropathy following intestinal bypass, other sites

M0209

Arthropathy following intestinal bypass, unspecified site

M021

Postdysenteric arthropathy

M0210

Postdysenteric arthropathy, multiple sites

M0211

Postdysenteric arthropathy, shoulder region

M0212

Postdysenteric arthropathy, upper arm

M0213

Postdysenteric arthropathy, forearm

M0214

Postdysenteric arthropathy, hand

M0215

Postdysenteric arthropathy, pelvic and thigh

M0216

Postdysenteric arthropathy, lower leg

M0217

Postdysenteric arthropathy, ankle and foot

M0218

Postdysenteric arthropathy, other sites

M0219

Postdysenteric arthropathy, unspecified site

M022

Postimmunization arthropathy

M0220

Postimmunization arthropathy, multiple sites

M0221

Postimmunization arthropathy, shoulder region

M0222

Postimmunization arthropathy, upper arm

M0223

Postimmunization arthropathy, forearm

M0224

Postimmunization arthropathy, hand

M0225

Postimmunization arthropathy, pelvic and thigh

M0226

Postimmunization arthropathy, lower leg

M0227

Postimmunization arthropathy, ankle and foot

M0228

Postimmunization arthropathy, other sites

M0229

Postimmunization arthropathy, unspecified site

M023

Reiter's disease

M0230

Reiter's disease, multiple sites

M0231

Reiter's disease, shoulder region

M0232

Reiter's disease, upper arm

M0233

Reiter's disease, forearm

M0234

Reiter's disease, hand

M0235

Reiter's disease, pelvic and thigh

M0236

Reiter's disease, lower leg

M0237

Reiter's disease, ankle and foot

M0238

Reiter's disease, other sites

M0239

Reiter's disease, unspecified site

M028

Other reactive arthropathies

M0280

Other reactive arthropathies, multiple sites

M0281

Other reactive arthropathies, shouder region

M0282

Other reactive arthropathies, upper arm

M0283

Other reactive arthropathies, forearm

M0284

Other reactive arthropathies, hand

M0285

Other reactive arthropathies, pelvic and thigh

-61-

Kode

Deskripsi

M0286

Other reactive arthropathies, lower leg

M0287

Other reactive arthropathies, ankle and foot

M0288

Other reactive arthropathies, other sites

M0289

Other reactive arthropathies, unspecified site

M029

Reactive arthropathy, unspecified

M0290

Reactive arthropathy, unspecified, multiple sites

M0291

Reactive arthropathy, unspecified, shoulder region

M0292

Reactive arthropathy, unspecified, upper arm

M0293

Reactive arthropathy, unspecified, forearm

M0294

Reactive arthropathy, unspecified, hand

M0295

Reactive arthropathy, unspecified, pelvic and thigh

M0296

Reactive arthropathy, unspecified, lower leg

M0297

Reactive arthropathy, unspecified, ankle and foot

M0298

Reactive arthropathy, unspecified, other sites

M0299

Reactive arthropathy, unspecified, unspecified site

M030

Postmeningococcal arthritis

M0300

Postmeningococcal arthritis, multiple sites

M0301

Postmeningococcal arthritis, shoulder region

M0302

Postmeningococcal arthritis, upper arm

M0303

Postmeningococcal arthritis, forearm

M0304

Postmeningococcal arthritis, hand

M0305

Postmeningococcal arthritis, pelvic and thigh

M0306

Postmeningococcal arthritis, lower leg

M0307

Postmeningococcal arthritis, ankle and foot

M0308

Postmeningococcal arthritis, other sites

M0309

Postmeningococcal arthritis, unspecified site

M031

Postinfective arthropathy in syphilis

M0310

Postinfective arthropathy in syphilis, multiple sites

M0311

Postinfective arthropathy in syphilis, shoulder region

M0312

Postinfective arthropathy in syphilis, upper arm

M0313

Postinfective arthropathy in syphilis, forearm

M0314

Postinfective arthropathy in syphilis, hand

M0315

Postinfective arthropathy in syphilis, pelvic and thigh

M0316

Postinfective arthropathy in syphilis, lower leg

M0317

Postinfective arthropathy in syphilis, ankle and foot

M0318

Postinfective arthropathy in syphilis, other sites

M0319

Postinfective arthropathy in syphilis, unspecified site

M032

Other postinfectious arthropathies in diseases classified elsewhere

M0320

Other postinfectious arthropathies in diseases classified elsewhere, multiple sites

M0321

Other postinfectious arthropathies in diseases classified elsewhere, shoulder region

M0322

Other postinfectious arthropathies in diseases classified elsewhere, upper arm

M0323

Other postinfectious arthropathies in diseases classified elsewhere, forearm

-62-

Kode

Deskripsi

M0324

Other postinfectious arthropathies in diseases classified elsewhere, hand

M0325

Other postinfectious arthropathies in diseases classified elsewhere, pelvic and thigh

M0326

Other postinfectious arthropathies in diseases classified elsewhere, lower leg

M0327

Other postinfectious arthropathies in diseases classified elsewhere, ankle and foot

M0328

Other postinfectious arthropathies in diseases classified elsewhere, other sites

M0329

Other postinfectious arthropathies in diseases classified elsewhere, unspecified site

M036

Reactive arthropathy in other diseases classified elsewhere

M0360

Reactive arthropathy in other diseases classified elsewhere, multiple sites

M0361

Reactive arthropathy in other diseases classified elsewhere, shoulder region

M0362

Reactive arthropathy in other diseases classified elsewhere, upper arm

M0363

Reactive arthropathy in other diseases classified elsewhere, forearm

M0364

Reactive arthropathy in other diseases classified elsewhere, hand

M0365

Reactive arthropathy in other diseases classified elsewhere, pelvic and thigh

M0366

Reactive arthropathy in other diseases classified elsewhere, lower leg

M0367

Reactive arthropathy in other diseases classified elsewhere, ankle and foot

M0368

Reactive arthropathy in other diseases classified elsewhere, other sites

M0369

Reactive arthropathy in other diseases classified elsewhere, unspecified site

M050

Seropositive Felty's syndrome

M0500

Seropositive Felty's syndrome, multiple sites

M0501

Seropositive Felty's syndrome, shoulder region

M0502

Seropositive Felty's syndrome, upper arm

M0503

Seropositive Felty's syndrome, forearm

M0504

Seropositive Felty's syndrome, hand

M0505

Seropositive Felty's syndrome, pelvic and thigh

M0506

Seropositive Felty's syndrome, lower leg

M0507

Seropositive Felty's syndrome, ankle and foot

M0508

Seropositive Felty's syndrome, other sites

M0509

Seropositive Felty's syndrome, unspecified site

M051

Seropositive rheumatoid lung disease

M0510

Seropositive rheumatoid lung disease, multiple sites

M0511

Seropositive rheumatoid lung disease, shoulder region

M0512

Seropositive rheumatoid lung disease, upper arm

M0513

Seropositive rheumatoid lung disease, forearm

M0514

Seropositive rheumatoid lung disease, hand

M0515

Seropositive rheumatoid lung disease, pelvic and thigh

M0516

Seropositive rheumatoid lung disease, lower leg

M0517

Seropositive rheumatoid lung disease, ankle and foot

M0518

Seropositive rheumatoid lung disease, other sites

M0519

Seropositive rheumatoid lung disease, unspecified site

M052

Seropositive rheumatoid vasculitis

M0520

Seropositive rheumatoid vasculitis, multiple sites

M0521

Seropositive rheumatoid vasculitis, shoulder region

-63-

Kode

Deskripsi

M0522

Seropositive rheumatoid vasculitis, upper arm

M0523

Seropositive rheumatoid vasculitis, forearm

M0524

Seropositive rheumatoid vasculitis, hand

M0525

Seropositive rheumatoid vasculitis, pelvic and thigh

M0526

Seropositive rheumatoid vasculitis, lower leg

M0527

Seropositive rheumatoid vasculitis, ankle and foot

M0528

Seropositive rheumatoid vasculitis, other sites

M0529

Seropositive rheumatoid vasculitis, unspecified site

M053

M058

Seropositive rheumatoid arthritis with involvement Seropositive rheumatoid arthritis with involvement multiple site Seropositive rheumatoid arthritis with involvement shoulder region Seropositive rheumatoid arthritis with involvement upper arm Seropositive rheumatoid arthritis with involvement forearm Seropositive rheumatoid arthritis with involvement hand Seropositive rheumatoid arthritis with involvement pelvic and thigh Seropositive rheumatoid arthritis with involvement lower leg Seropositive rheumatoid arthritis with involvement ankle and foot Seropositive rheumatoid arthritis with involvement other sites Seropositive rheumatoid arthritis with involvement unspecified site Other seropositive rheumatoid arthritis

M0580

Other seropositive rheumatoid arthritis, multiple sites

M0581

Other seropositive rheumatoid arthritis, shoulder region

M0582

Other seropositive rheumatoid arthritis, upper arm

M0583

Other seropositive rheumatoid arthritis, forearm

M0584

Other seropositive rheumatoid arthritis, hand

M0585

Other seropositive rheumatoid arthritis, pelvic and thigh

M0586

Other seropositive rheumatoid arthritis, lower leg

M0587

Other seropositive rheumatoid arthritis, ankle and foot

M0588

Other seropositive rheumatoid arthritis, other sites

M0589

Other seropositive rheumatoid arthritis, unspecified site

M059

Seropositive rheumatoid arthritis, unspecified

M0590

Seropositive rheumatoid arthritis, unspecified, multiple sites

M0591

Seropositive rheumatoid arthritis, unspecified, shoulder region

M0592

Seropositive rheumatoid arthritis, unspecified, upper arm

M0593

Seropositive rheumatoid arthritis, unspecified, forearm

M0594

Seropositive rheumatoid arthritis, unspecified, hand

M0595

Seropositive rheumatoid arthritis, unspecified, pelvic and thigh

M0596

Seropositive rheumatoid arthritis, unspecified, lower leg

M0597

Seropositive rheumatoid arthritis, unspecified, ankle and foot

M0530 M0531 M0532 M0533 M0534 M0535 M0536 M0537 M0538 M0539

of oth organs and sys of other organs and system, of other organs and system, of other organs and system, of other organs and system, of other organs and system, of other organs and system, of other organs and system, of other organs and system, of other organs and system, of other organs and system,

-64-

Kode

Deskripsi

M0598

Seropositive rheumatoid arthritis, unspecified, other sites

M0599

Seropositive rheumatoid arthritis, unspecified, unspecified site

M060

Seronegative rheumatoid arthritis

M0600

Seronegative rheumatoid arthritis, multiple sites

M0601

Seronegative rheumatoid arthritis, shoulder region

M0602

Seronegative rheumatoid arthritis, upper arm

M0603

Seronegative rheumatoid arthritis, forearm

M0604

Seronegative rheumatoid arthritis, hand

M0605

Seronegative rheumatoid arthritis, pelvic and thigh

M0606

Seronegative rheumatoid arthritis, lower leg

M0607

Seronegative rheumatoid arthritis, ankle and foot

M0608

Seronegative rheumatoid arthritis, other sites

M0609

Seronegative rheumatoid arthritis, unspecified site

M061

Adult-onset still's disease

M0610

Adult-onset still's disease, multiple sites

M0611

Adult-onset still's disease, shoulder region

M0612

Adult-onset still's disease, upper arm

M0613

Adult-onset still's disease, forearm

M0614

Adult-onset still's disease, hand

M0615

Adult-onset still's disease, pelvic and thigh

M0616

Adult-onset still's disease, lower leg

M0617

Adult-onset still's disease, ankle and foot

M0618

Adult-onset still's disease, other sites

M0619

Adult-onset still's disease, unspecified site

M062

Rheumatoid bursitis

M0620

Rheumatoid bursitis, multiple sites

M0621

Rheumatoid bursitis, shoulder region

M0622

Rheumatoid bursitis, upper arm

M0623

Rheumatoid bursitis, forearm

M0624

Rheumatoid bursitis, hand

M0625

Rheumatoid bursitis, pelvic and thigh

M0626

Rheumatoid bursitis, lower leg

M0627

Rheumatoid bursitis, ankle and foot

M0628

Rheumatoid bursitis, other sites

M0629

Rheumatoid bursitis, unspecified site

M063

Rheumatoid nodule

M0630

Rheumatoid nodule, multiple sites

M0631

Rheumatoid nodule, shoulder region

M0632

Rheumatoid nodule, upper arm

M0633

Rheumatoid nodule, forearm

M0634

Rheumatoid nodule, hand

M0635

Rheumatoid nodule, pelvic and thigh

-65-

Kode

Deskripsi

M0636

Rheumatoid nodule, lower leg

M0637

Rheumatoid nodule, ankle and foot

M0638

Rheumatoid nodule, other sites

M0639

Rheumatoid nodule, unspecified site

M064

Inflammatory polyarthropathy

M0640

Inflammatory polyarthropathy, multiple sites

M0641

Inflammatory polyarthropathy, shoulder region

M0642

Inflammatory polyarthropathy, upper arm

M0643

Inflammatory polyarthropathy, forearm

M0644

Inflammatory polyarthropathy, hand

M0645

Inflammatory polyarthropathy, pelvic and thigh

M0646

Inflammatory polyarthropathy, lower leg

M0647

Inflammatory polyarthropathy, ankle and foot

M0648

Inflammatory polyarthropathy, other sites

M0649

Inflammatory polyarthropathy, unspecified site

M068

Other specified rheumatoid arthritis

M0680

Other specified rheumatoid arthritis, multiple sites

M0681

Other specified rheumatoid arthritis, shoulder region

M0682

Other specified rheumatoid arthritis, upper arm

M0683

Other specified rheumatoid arthritis, forearm

M0684

Other specified rheumatoid arthritis, hand

M0685

Other specified rheumatoid arthritis, pelvic and thigh

M0686

Other specified rheumatoid arthritis, lower leg

M0687

Other specified rheumatoid arthritis, ankle and foot

M0688

Other specified rheumatoid arthritis, other sites

M0689

Other specified rheumatoid arthritis, unspecified site

M069

Rheumatoid arthritis, unspecified

M0690

Rheumatoid arthritis, unspecified, multiple sites

M0691

Rheumatoid arthritis, unspecified, shoulder region

M0692

Rheumatoid arthritis, unspecified, upper arm

M0693

Rheumatoid arthritis, unspecified, forearm

M0694

Rheumatoid arthritis, unspecified, hand

M0695

Rheumatoid arthritis, unspecified, pelvic and thigh

M0696

Rheumatoid arthritis, unspecified, lower leg

M0697

Rheumatoid arthritis, unspecified, ankle and foot

M0698

Rheumatoid arthritis, unspecified, other sites

M0699

Rheumatoid arthritis, unspecified, unspecified site

M070

Distal interphalangeal proriatic arthropathy

M0700

Distal interphalangeal psoriatic arthropathy, multiple sites

M0704

Distal interphalangeal psoriatic arthropathy, hand

M0707

Distal interphalangeal psoriatic arthropathy, ankle and foot

M0709

Distal interphalangeal psoriatic arthropathy, site unspecified

-66-

Kode

Deskripsi

M071

Arthritis mutilans

M0710

Arthritis mutilans, multiple sites

M0711

Arthritis mutilans, shoulder region

M0712

Arthritis mutilans, upper arm

M0713

Arthritis mutilans, forearm

M0714

Arthritis mutilans, hand

M0715

Arthritis mutilans, pelvic and thigh

M0716

Arthritis mutilans, lower leg

M0717

Arthritis mutilans, ankle and foot

M0718

Arthritis mutilans, other sites

M0719

Arthritis mutilans, unspecified site

M072

Psoriatic spondylitis

M073

Other psoriatic arthropathies

M0730

Other psoriatic arthropathies, multiple sites

M0731

Other psoriatic arthropathies, sholder region

M0732

Other psoriatic arthropathies, upper arm

M0733

Other psoriatic arthropathies, forearm

M0734

Other psoriatic arthropathies, hand

M0735

Other psoriatic arthropathies, pelvic and thigh

M0736

Other psoriatic arthropathies, lower leg

M0737

Other psoriatic arthropathies, ankle and foot

M0738

Other psoriatic arthropathies, other sites

M0739

Other psoriatic arthropathies, unspecified site

M074

Arthropathy in crohn's disease [regional enteritis]

M0740

Arthropathy in crohn's disease [regional enteritis], multiple sites

M0741

Arthropathy in crohn's disease [regional enteritis], shoulder region

M0742

Arthropathy in crohn's disease [regional enteritis], upper arm

M0743

Arthropathy in crohn's disease [regional enteritis], forearm

M0744

Arthropathy in crohn's disease [regional enteritis], hand

M0745

Arthropathy in crohn's disease [regional enteritis], pelvic and thigh

M0746

Arthropathy in crohn's disease [regional enteritis], lower leg

M0747

Arthropathy in crohn's disease [regional enteritis], ankle and foot

M0748

Arthropathy in crohn's disease [regional enteritis], other sites

M0749

Arthropathy in crohn's disease [regional enteritis], unspecified site

M075

Arthropathy in ulcerative colitis

M0750

Arthropathy in ulcerative colitis, multiple sites

M0751

Arthropathy in ulcerative colitis, shoulder region

M0752

Arthropathy in ulcerative colitis, upper arm

M0753

Arthropathy in ulcerative colitis, forearm

M0754

Arthropathy in ulcerative colitis, hand

M0755

Arthropathy in ulcerative colitis, pelvic and thigh

M0756

Arthropathy in ulcerative colitis, lower leg

-67-

Kode

Deskripsi

M0757

Arthropathy in ulcerative colitis, ankle and foot

M0758

Arthropathy in ulcerative colitis, other sites

M0759

Arthropathy in ulcerative colitis, unspecified site

M076

Other enteropathic arthropathies

M0760

Other enteropathic arthropathies, multiple sites

M0761

Other enteropathic arthropathies, shoulder region

M0762

Other enteropathic arthropathies, upper arm

M0763

Other enteropathic arthropathies, forearm

M0764

Other enteropathic arthropathies, hand

M0765

Other enteropathic arthropathies, pelvic and thigh

M0766

Other enteropathic arthropathies, lower leg

M0767

Other enteropathic arthropathies, ankle and foot

M0768

Other enteropathic arthropathies, other sites

M0769

Other enteropathic arthropathies, unspecified site

M080

Juvenile rheumatoid arthritis

M0800

Juvenile rheumatoid arthritis, multiple sites

M0801

Juvenile rheumatoid arthritis, shoulder region

M0802

Juvenile rheumatoid arthritis, upper arm

M0803

Juvenile rheumatoid arthritis, forearm

M0804

Juvenile rheumatoid arthritis, hand

M0805

Juvenile rheumatoid arthritis, pelvic and thigh

M0806

Juvenile rheumatoid arthritis, lower leg

M0807

Juvenile rheumatoid arthritis, ankle and foot

M0808

Juvenile rheumatoid arthritis, other sites

M0809

Juvenile rheumatoid arthritis, unspecified site

M081

Juvenile ankylosing spondylitis

M0810

Juvenile ankylosing spondylitis, multiple sites

M0811

Juvenile ankylosing spondylitis, shouder region

M0812

Juvenile ankylosing spondylitis, upper arm

M0813

Juvenile ankylosing spondylitis, forearm

M0814

Juvenile ankylosing spondylitis, hand

M0815

Juvenile ankylosing spondylitis, pelvic and thigh

M0816

Juvenile ankylosing spondylitis, lower leg

M0817

Juvenile ankylosing spondylitis, ankle and foot

M0818

Juvenile ankylosing spondylitis, other sites

M0819

Juvenile ankylosing spondylitis, unspecified site

M082

Juvenile arthritis with systemic onset

M0820

Juvenile arthritis with systemic onset, multiple sites

M0821

Juvenile arthritis with systemic onset, shoulder region

M0822

Juvenile arthritis with systemic onset, upper arm

M0823

Juvenile arthritis with systemic onset, forearm

M0824

Juvenile arthritis with systemic onset, hand

-68-

Kode

Deskripsi

M0825

Juvenile arthritis with systemic onset, pelvic and thigh

M0826

Juvenile arthritis with systemic onset, lower leg

M0827

Juvenile arthritis with systemic onset, ankle and foot

M0828

Juvenile arthritis with systemic onset, other sites

M0829

Juvenile arthritis with systemic onset, unspecified site

M083

Juvenile polyarthritis (seronegative)

M0830

Juvenile polyarthritis (seronegative), multiple sites

M0831

Juvenile polyarthritis (seronegative), shoulder region

M0832

Juvenile polyarthritis (seronegative), upper arm

M0833

Juvenile polyarthritis (seronegative), forearm

M0834

Juvenile polyarthritis (seronegative), hand

M0835

Juvenile polyarthritis (seronegative), pelvic and thigh

M0836

Juvenile polyarthritis (seronegative), lower leg

M0837

Juvenile polyarthritis (seronegative), ankle and foot

M0838

Juvenile polyarthritis (seronegative), other sites

M0839

Juvenile polyarthritis (seronegative), unspecified site

M084

Pauciarticular juvenile arthritis

M0840

Pauciarticular juvenile arthritis, multiple sites

M0841

Pauciarticular juvenile arthritis, shoulder region

M0842

Pauciarticular juvenile arthritis, upper arm

M0843

Pauciarticular juvenile arthritis, forearm

M0844

Pauciarticular juvenile arthritis, hand

M0845

Pauciarticular juvenile arthritis, pelvica and thigh

M0846

Pauciarticular juvenile arthritis, lower leg

M0847

Pauciarticular juvenile arthritis, ankle and foot

M0848

Pauciarticular juvenile arthritis, other sites

M0849

Pauciarticular juvenile arthritis, unspecified site

M088

Other juvenile arthritis

M0880

Other juvenile arthritis, multiple sites

M0881

Other juvenile arthritis, shoulder region

M0882

Other juvenile arthritis, upper arm

M0883

Other juvenile arthritis, forearm

M0884

Other juvenile arthritis, hand

M0885

Other juvenile arthritis, pelvic and thigh

M0886

Other juvenile arthritis, lower leg

M0887

Other juvenile arthritis, ankle and foot

M0888

Other juvenile arthritis, other sites

M0889

Other juvenile arthritis, unspecified site

M089

Juvenile arthritis, unspecified

M0890

Juvenile arthritis, unspecified, multiple sites

M0891

Juvenile arthritis, unspecified, shoulder region

M0892

Juvenile arthritis, unspecified, upper arm

-69-

Kode

Deskripsi

M0893

Juvenile arthritis, unspecified, forearm

M0894

Juvenile arthritis, unspecified, hand

M0895

Juvenile arthritis, unspecified, pelvic and thigh

M0896

Juvenile arthritis, unspecified, lower leg

M0897

Juvenile arthritis, unspecified, ankle and foot

M0898

Juvenile arthritis, unspecified, other sites

M0899

Juvenile arthritis, unspecified, unspecified site

M090

Juvenile arthritis in psoriasis

M0900

Juvenile arthritis in psoriasis, multiple sites

M0901

Juvenile arthritis in psoriasis, shoulder region

M0902

Juvenile arthritis in psoriasis, upper arm

M0903

Juvenile arthritis in psoriasis, forearm

M0904

Juvenile arthritis in psoriasis, hand

M0905

Juvenile arthritis in psoriasis, pelvic and thigh

M0906

Juvenile arthritis in psoriasis, lower leg

M0907

Juvenile arthritis in psoriasis, ankle and foot

M0908

Juvenile arthritis in psoriasis, other sites

M0909

Juvenile arthritis in psoriasis, unspecified site

M091

Juvenile arthritis in crohn's disease [regional enteritis]

M0910

Juvenile arthritis in crohn's disease [regional enteritis], multiple sites

M0911

Juvenile arthritis in crohn's disease [regional enteritis], shoulder region

M0912

Juvenile arthritis in crohn's disease [regional enteritis], upper arm

M0913

Juvenile arthritis in crohn's disease [regional enteritis], forearm

M0914

Juvenile arthritis in crohn's disease [regional enteritis], hand

M0915

Juvenile arthritis in crohn's disease [regional enteritis], pelvic and thigh

M0916

Juvenile arthritis in crohn's disease [regional enteritis], lower leg

M0917

Juvenile arthritis in crohn's disease [regional enteritis], ankle and foot

M0918

Juvenile arthritis in crohn's disease [regional enteritis], other sites

M0919

Juvenile arthritis in crohn's disease [regional enteritis], unspecified site

M092

Juvenile arthritis in ulcerative colitis

M0920

Juvenile arthritis in ulcerative colitis, multiple sites

M0921

Juvenile arthritis in ulcerative colitis, shoulder region

M0922

Juvenile arthritis in ulcerative colitis, upper arm

M0923

Juvenile arthritis in ulcerative colitis, forearm

M0924

Juvenile arthritis in ulcerative colitis, hand

M0925

Juvenile arthritis in ulcerative colitis, pelvic and thigh

M0926

Juvenile arthritis in ulcerative colitis, lower leg

M0927

Juvenile arthritis in ulcerative colitis, ankle and foot

M0928

Juvenile arthritis in ulcerative colitis, other sites

M0929

Juvenile arthritis in ulcerative colitis, unspecified site

M098

Juvenile arthritis in other diseases classified elsewhere

M0980

Juvenile arthritis in other diseases classified elsewhere, multiple sites

-70-

Kode

Deskripsi

M0981

Juvenile arthritis in other diseases classified elsewhere, shoulder region

M0982

Juvenile arthritis in other diseases classified elsewhere, upper arm

M0983

Juvenile arthritis in other diseases classified elsewhere, forearm

M0984

Juvenile arthritis in other diseases classified elsewhere, hand

M0985

Juvenile arthritis in other diseases classified elsewhere, pelvic and thigh

M0986

Juvenile arthritis in other diseases classified elsewhere, lower leg

M0987

Juvenile arthritis in other diseases classified elsewhere, ankle and foot

M0988

Juvenile arthritis in other diseases classified elsewhere, other sites

M0989

Juvenile arthritis in other diseases classified elsewhere, unspecified site

M100

Idiopathic gout

M1000

Idiopathic gout, multiple sites

M1001

Idiopathic gout, shoulder region

M1002

Idiopathic gout, upper arm

M1003

Idiopathic gout, forearm

M1004

Idiopathic gout, hand

M1005

Idiopathic gout, pelvic and thigh

M1006

Idiopathic gout, lower leg

M1007

Idiopathic gout, ankle and foot

M1008

Idiopathic gout, other sites

M1009

Idiopathic gout, unspecified site

M101

Lead-induced gout

M1010

Lead-induced gout, multiple sites

M1011

Lead-induced gout, shoulder region

M1012

Lead-induced gout, upper arm

M1013

Lead-induced gout, forearm

M1014

Lead-induced gout, hand

M1015

Lead-induced gout, pelvic and thigh

M1016

Lead-induced gout, lower leg

M1017

Lead-induced gout, ankle and foot

M1018

Lead-induced gout, other sites

M1019

Lead-induced gout, unspecified site

M102

Drug-induced gout

M1020

Drug-induced gout, multiple sites

M1021

Drug-induced gout, shoulder region

M1022

Drug-induced gout, upper arm

M1023

Drug-induced gout, forearm

M1024

Drug-induced gout, hand

M1025

Drug-induced gout, pelvic and thigh

M1026

Drug-induced gout, lower leg

M1027

Drug-induced gout, ankle and foot

M1028

Drug-induced gout, other sites

M1029

Drug-induced gout, unspecified site

-71-

Kode

Deskripsi

M103

Gout due to impairment of renal function

M1030

Gout due to impairment of renal function, multiple sites

M1031

Gout due to impairment of renal function, shoulder region

M1032

Gout due to impairment of renal function, upper arm

M1033

Gout due to impairment of renal function, forearm

M1034

Gout due to impairment of renal function, hand

M1035

Gout due to impairment of renal function, pelvic and thigh

M1036

Gout due to impairment of renal function, lower leg

M1037

Gout due to impairment of renal function, ankle and foot

M1038

Gout due to impairment of renal function, other sites

M1039

Gout due to impairment of renal function, unspecified site

M104

Other secondary gout

M1040

Other secondary gout, multiple sites

M1041

Other secondary gout, shoulder region

M1042

Other secondary gout, upper arm

M1043

Other secondary gout, forearm

M1044

Other secondary gout, hand

M1045

Other secondary gout, pelvic and thigh

M1046

Other secondary gout, lower leg

M1047

Other secondary gout, ankle and foot

M1048

Other secondary gout, other sites

M1049

Other secondary gout, unspecified site

M109

Gout, unspecified

M1090

Gout, unspecified, multiple sites

M1091

Gout, unspecified, shoulder region

M1092

Gout, unspecified, upper arm

M1093

Gout, unspecified, forearm

M1094

Gout, unspecified, hand

M1095

Gout, unspecified, pelvic and thigh

M1096

Gout, unspecified, lower leg

M1097

Gout, unspecified, ankle and foot

M1098

Gout, unspecified, other sites

M1099

Gout, unspecified, unspecified site

M110

Hydroxyapatite deposition disease

M1100

Hydroxyapatite deposition disease, multiple sites

M1101

Hydroxyapatite deposition disease, shoulder region

M1102

Hydroxyapatite deposition disease, upper arm

M1103

Hydroxyapatite deposition disease, forearm

M1104

Hydroxyapatite deposition disease, hand

M1105

Hydroxyapatite deposition disease, pelvic and thigh

M1106

Hydroxyapatite deposition disease, lower leg

M1107

Hydroxyapatite deposition disease, ankle and foot

-72-

Kode

Deskripsi

M1108

Hydroxyapatite deposition disease, other sites

M1109

Hydroxyapatite deposition disease, unspecified site

M111

Familial chondrocalcinosis

M1110

Familial chondrocalcinosis, multiple sites

M1111

Familial chondrocalcinosis, shoulder region

M1112

Familial chondrocalcinosis, upper arm

M1113

Familial chondrocalcinosis, forearm

M1114

Familial chondrocalcinosis, hand

M1115

Familial chondrocalcinosis, pelvic and thigh

M1116

Familial chondrocalcinosis, lower leg

M1117

Familial chondrocalcinosis, ankle and foot

M1118

Familial chondrocalcinosis, other sites

M1119

Familial chondrocalcinosis, unspecified site

M112

Other chondrocalcinosis

M1120

Other chondrocalcinosis, multiple sites

M1121

Other chondrocalcinosis, shoulder region

M1122

Other chondrocalcinosis, upper arm

M1123

Other chondrocalcinosis, forearm

M1124

Other chondrocalcinosis, hand

M1125

Other chondrocalcinosis, pelvic and thigh

M1126

Other chondrocalcinosis, lower leg

M1127

Other chondrocalcinosis, ankle and foot

M1128

Other chondrocalcinosis, other sites

M1129

Other chondrocalcinosis, unspecified site

M118

Other specified crystal arthropathies

M1180

Other specified crystal arthropathies, multiple sites

M1181

Other specified crystal arthropathies, shoulder region

M1182

Other specified crystal arthropathies, upper arm

M1183

Other specified crystal arthropathies, forearm

M1184

Other specified crystal arthropathies, hand

M1185

Other specified crystal arthropathies, pelvic and thigh

M1186

Other specified crystal arthropathies, lower leg

M1187

Other specified crystal arthropathies, ankle and foot

M1188

Other specified crystal arthropathies, other sites

M1189

Other specified crystal arthropathies, unspecified site

M119

Crystal arthropathy, unspecified

M1190

Crystal arthropathy, unspecified, multiple sites

M1191

Crystal arthropathy, unspecified, shoulder region

M1192

Crystal arthropathy, unspecified, upper arm

M1193

Crystal arthropathy, unspecified, forearm

M1194

Crystal arthropathy, unspecified, hand

M1195

Crystal arthropathy, unspecified, pelvic and thigh

-73-

Kode

Deskripsi

M1196

Crystal arthropathy, unspecified, lower leg

M1197

Crystal arthropathy, unspecified, ankle and foot

M1198

Crystal arthropathy, unspecified, other sites

M1199

Crystal arthropathy, unspecified, unspecified site

M120

Chronic postrheumatic arthropathy [jaccoud]

M1200

Chronic postrheumatic arthropathy [jaccoud], multiple sites

M1201

Chronic postrheumatic arthropathy [jaccoud], shoulder region

M1202

Chronic postrheumatic arthropathy [jaccoud], upper arm

M1203

Chronic postrheumatic arthropathy [jaccoud], forearm

M1204

Chronic postrheumatic arthropathy [jaccoud], hand

M1205

Chronic postrheumatic arthropathy [jaccoud], pelvic and thigh

M1206

Chronic postrheumatic arthropathy [jaccoud], lower leg

M1207

Chronic postrheumatic arthropathy [jaccoud], ankle and foot

M1208

Chronic postrheumatic arthropathy [jaccoud], other sites

M1209

Chronic postrheumatic arthropathy [jaccoud], unspecified site

M121

Kaschin-beck disease

M1210

Kaschin-beck disease, multiple sites

M1211

Kaschin-beck disease, shoulder region

M1212

Kaschin-beck disease, upper arm

M1213

Kaschin-beck disease, forearm

M1214

Kaschin-beck disease, hand

M1215

Kaschin-beck disease, pelvic and thigh

M1216

Kaschin-beck disease, lower leg

M1217

Kaschin-beck disease, ankle and foot

M1218

Kaschin-beck disease, other sites

M1219

Kaschin-beck disease, unspecified site

M122

Villonodular synovitis (pigmented)

M1220

Villonodular synovitis (pigmented), multiple sites

M1221

Villonodular synovitis (pigmented), shoulder region

M1222

Villonodular synovitis (pigmented), upper arm

M1223

Villonodular synovitis (pigmented), forearm

M1224

Villonodular synovitis (pigmented), hand

M1225

Villonodular synovitis (pigmented), pelvic and thigh

M1226

Villonodular synovitis (pigmented), lower leg

M1227

Villonodular synovitis (pigmented), ankle and foot

M1228

Villonodular synovitis (pigmented), other sites

M1229

Villonodular synovitis (pigmented), unspecified site

M123

Palindromic rheumatism

M1230

Palindromic rheumatism, multiple sites

M1231

Palindromic rheumatism, shoulder region

M1232

Palindromic rheumatism, upper arm

M1233

Palindromic rheumatism, forearm

-74-

Kode

Deskripsi

M1234

Palindromic rheumatism, hand

M1235

Palindromic rheumatism, pelvic and thigh

M1236

Palindromic rheumatism, lower leg

M1237

Palindromic rheumatism, ankle and foot

M1238

Palindromic rheumatism, other sites

M1239

Palindromic rheumatism, unspecified site

M124

Intermittent hydrarthrosis

M1240

Intermittent hydrarthrosis, multiple sites

M1241

Intermittent hydrarthrosis, shoulder region

M1242

Intermittent hydrarthrosis, upper arm

M1243

Intermittent hydrarthrosis, forearm

M1244

Intermittent hydrarthrosis, hand

M1245

Intermittent hydrarthrosis, pelvic and thigh

M1246

Intermittent hydrarthrosis, lower leg

M1247

Intermittent hydrarthrosis, ankle and foot

M1248

Intermittent hydrarthrosis, other sites

M1249

Intermittent hydrarthrosis, unspecified site

M125

Traumatic arthropathy

M1250

Traumatic arthropathy, multiple sites

M1251

Traumatic arthropathy, shoulder region

M1252

Traumatic arthropathy, upper arm

M1253

Traumatic arthropathy, forearm

M1254

Traumatic arthropathy, hand

M1255

Traumatic arthropathy, pelvic and thigh

M1256

Traumatic arthropathy, lower leg

M1257

Traumatic arthropathy, ankle and foot

M1258

Traumatic arthropathy, other sites

M1259

Traumatic arthropathy, unspecified site

M128

Other specific arthropathies, not elsewhere classified

M1280

Other specific arthropathies, not elsewhere classified, multiple sites

M1281

Other specific arthropathies, not elsewhere classified, shoulder region

M1282

Other specific arthropathies, not elsewhere classified, upper arm

M1283

Other specific arthropathies, not elsewhere classified, forearm

M1284

Other specific arthropathies, not elsewhere classified, hand

M1285

Other specific arthropathies, not elsewhere classified, pelvic and thigh

M1286

Other specific arthropathies, not elsewhere classified, lower leg

M1287

Other specific arthropathies, not elsewhere classified, ankle and foot

M1288

Other specific arthropathies, not elsewhere classified, other sites

M1289

Other specific arthropathies, not elsewhere classified, unspecified site

M130

Polyarthritis, unspecified

M1300

Polyarthritis, unspecified, multiple sites

M1301

Polyarthritis, unspecified, shoulder region

-75-

Kode

Deskripsi

M1302

Polyarthritis, unspecified, upper arm

M1303

Polyarthritis, unspecified, forearm

M1304

Polyarthritis, unspecified, hand

M1305

Polyarthritis, unspecified, pelvic and thigh

M1306

Polyarthritis, unspecified, lower leg

M1307

Polyarthritis, unspecified, ankle and foot

M1308

Polyarthritis, unspecified, other sites

M1309

Polyarthritis, unspecified, unspecified site

M131

Monoarthritis, not elsewhere classified

M1310

Monoarthritis, not elsewhere classified, multiple sites

M1311

Monoarthritis, not elsewhere classified, shoulder region

M1312

Monoarthritis, not elsewhere classified, upper arm

M1313

Monoarthritis, not elsewhere classified, forearm

M1314

Monoarthritis, not elsewhere classified, hand

M1315

Monoarthritis, not elsewhere classified, pelvic and thigh

M1316

Monoarthritis, not elsewhere classified, lower leg

M1317

Monoarthritis, not elsewhere classified, ankle and foot

M1318

Monoarthritis, not elsewhere classified, other sites

M1319

Monoarthritis, not elsewhere classified, unspecified site

M138

Other specified arthritis

M1380

Other specified arthritis, multiple sites

M1381

Other specified arthritis, shoulder region

M1382

Other specified arthritis, upper arm

M1383

Other specified arthritis, forearm

M1384

Other specified arthritis, hand

M1385

Other specified arthritis, pelvic and thigh

M1386

Other specified arthritis, lower leg

M1387

Other specified arthritis, ankle and foot

M1388

Other specified arthritis, other sites

M1389

Other specified arthritis, unspecified site

M139

Arthritis, unspecified

M1390

Arthritis, unspecified, multiple sites

M1391

Arthritis, unspecified, shoulder region

M1392

Arthritis, unspecified, upper arm

M1393

Arthritis, unspecified, forearm

M1394

Arthritis, unspecified, hand

M1395

Arthritis, unspecified, pelvic and thigh

M1396

Arthritis, unspecified, lower leg

M1397

Arthritis, unspecified, ankle and foot

M1398

Arthritis, unspecified, other sites

M1399

Arthritis, unspecified, unspecified site

M140

Gouty arthropathy due to enzyme defects and other inherited disorders

-76-

Kode

Deskripsi

M141

Crystal arthropathy in other metabolic disorders

M142

Diabetic arthropathy

M143

Lipoid dermatoarthritis

M144

Arthropathy in amylodosis

M145

Arthropathies in other endocrine nutritional and metabolic disorders

M146

Neuropathic arthropathy

M148

Arthropathies in other specified diseases classified elsewhere

M150

Primary generalized (osteo)arthrosis

M151

Heberden's nodes (with arthropathy)

M152

Bouchard's nodes (with arthropathy)

M153

Secondary multiple arthrosis

M154

Erosive (osteo)arthrosis

M158

Other polyarthrosis

M159

Polyarthrosis, unspecified

M160

Primary coxarthrosis, bilateral

M161

Other primary coxarthrosis

M162

Coxarthrosis resulting from dysplasia, bilateral

M163

Other dysplastic coxarthrosis

M164

Post-traumatic coxarthrosis, bilateral

M165

Other post-traumatic coxarthrosis

M166

Other secondary coxarthrosis, bilateral

M167

Other secondary coxarthrosis

M169

Coxarthrosis, unspecified

M170

Primary gonarthrosis, bilateral

M171

Other primary gonarthrosis

M172

Post-traumatic gonarthrosis, bilateral

M173

Other post-traumatic gonarthrosis

M174

Other secondary gonarthrosis, bilateral

M175

Other secondary gonarthrosis

M179

Gonarthrosis, unspecified

M180

Primary arthrosis of first carpometacarpal joints, bilateral

M181

Other primary arthrosis of first carpometacarpal joint

M182

Post-traumatic arthrosis of first carpometacarpal joints, bilateral

M183

Other post-traumatic arthrosis of first carpometacarpal joints

M184

Other secondary arthrosis of first carpometacarpal joints, bilateral

M185

Other secondary arthrosis of first carpometacarpal joint

M189

Arthrosis of first carpometacarpal joint, unspecified

M190

Primary arthrosis of other joints

M1900

Primary arthrosis of other joints, multiple sites

M1901

Primary arthrosis of other joints, shoulder region

M1902

Primary arthrosis of other joints, upper arm

M1903

Primary arthrosis of other joints, forearm

-77-

Kode

Deskripsi

M1904

Primary arthrosis of other joints, hand

M1905

Primary arthrosis of other joints, pelvic and thigh

M1906

Primary arthrosis of other joints, lower leg

M1907

Primary arthrosis of other joints, ankle and foot

M1908

Primary arthrosis of other joints, other sites

M1909

Primary arthrosis of other joints, unspecified site

M191

Post-traumatic arthrosis of other joints

M1910

Post-traumatic arthrosis of other joints, multiple sites

M1911

Post-traumatic arthrosis of other joints, shoulder region

M1912

Post-traumatic arthrosis of other joints, upper arm

M1913

Post-traumatic arthrosis of other joints, forearm

M1914

Post-traumatic arthrosis of other joints, hand

M1915

Post-traumatic arthrosis of other joints, pelvic and thigh

M1916

Post-traumatic arthrosis of other joints, lower leg

M1917

Post-traumatic arthrosis of other joints, ankle and foot

M1918

Post-traumatic arthrosis of other joints, other sites

M1919

Post-traumatic arthrosis of other joints, unspecified site

M192

Secondary arthrosis of other joints

M1920

Secondary arthrosis of other joints, multiple sites

M1921

Secondary arthrosis of other joints, shoulder region

M1922

Secondary arthrosis of other joints, upper arm

M1923

Secondary arthrosis of other joints, forearm

M1924

Secondary arthrosis of other joints, hand

M1925

Secondary arthrosis of other joints, pelvic and thigh

M1926

Secondary arthrosis of other joints, lower leg

M1927

Secondary arthrosis of other joints, ankle and foot

M1928

Secondary arthrosis of other joints, other sites

M1929

Secondary arthrosis of other joints, unspecified site

M198

Other specified arthrosis

M1980

Other specified arthrosis, multiple sites

M1981

Other specified arthrosis, shoulder region

M1982

Other specified arthrosis, upper arm

M1983

Other specified arthrosis, forearm

M1984

Other specified arthrosis, hand

M1985

Other specified arthrosis, pelvic and thigh

M1986

Other specified arthrosis, lower leg

M1987

Other specified arthrosis, ankle and foot

M1988

Other specified arthrosis, other sites

M1989

Other specified arthrosis, unspecified site

M199

Arthrosis, unspecified

M1990

Arthrosis, unspecified, multiple sites

M1991

Arthrosis, unspecified, shouder region

-78-

Kode

Deskripsi

M1992

Arthrosis, unspecified, upper arm

M1993

Arthrosis, unspecified, forearm

M1994

Arthrosis, unspecified, hand

M1995

Arthrosis, unspecified, pelvic and thigh

M1996

Arthrosis, unspecified, lower leg

M1997

Arthrosis, unspecified, ankle and foot

M1998

Arthrosis, unspecified, other sites

M1999

Arthrosis, unspecified, unspecified site

M200

Deformity of finger(s)

M201

Hallux valgus (acquired)

M202

Hallux rigidus

M203

Other deformity of hallux (acquired)

M204

Other hammer toe(s) (acquired)

M205

Other deformities of toe(s) (acquired)

M206

Acquired deformity of toe(s), unspecified

M210

Valgus deformity, not elsewhere classified

M2100

Valgus deformity, not elsewhere classified, multiple sites

M2101

Valgus deformity, not elsewhere classified, shoulder region

M2102

Valgus deformity, not elsewhere classified, upper arm

M2103

Valgus deformity, not elsewhere classified, forearm

M2104

Valgus deformity, not elsewhere classified, hand

M2105

Valgus deformity, not elsewhere classified, pelvic and thigh

M2106

Valgus deformity, not elsewhere classified, lower leg

M2107

Valgus deformity, not elsewhere classified, ankle and foot

M2108

Valgus deformity, not elsewhere classified, other sites

M2109

Valgus deformity, not elsewhere classified, unspecified site

M211

Varus deformity, not elsewhere classified

M2110

Varus deformity, not elsewhere classified, multiple sites

M2111

Varus deformity, not elsewhere classified, shoulder region

M2112

Varus deformity, not elsewhere classified, upper arm

M2113

Varus deformity, not elsewhere classified, forearm

M2114

Varus deformity, not elsewhere classified, hand

M2115

Varus deformity, not elsewhere classified, pelvic and thigh

M2116

Varus deformity, not elsewhere classified, lower leg

M2117

Varus deformity, not elsewhere classified, ankle and foot

M2118

Varus deformity, not elsewhere classified, other sites

M2119

Varus deformity, not elsewhere classified, unspecified site

M212

Flexion deformity

M2120

Flexion deformity, multiple sites

M2121

Flexion deformity, shoulder region

M2122

Flexion deformity, upper arm

M2123

Flexion deformity, forearm

-79-

Kode

Deskripsi

M2124

Flexion deformity, hand

M2125

Flexion deformity, pelvic and thigh

M2126

Flexion deformity, lower leg

M2127

Flexion deformity, ankle and foot

M2128

Flexion deformity, other sites

M2129

Flexion deformity, unspecified site

M213

Wrist or foot drop (acquired)

M2134

Wrist or foot drop (acquired), hand

M2137

Wrist or foot drop (acquired), ankle and foot

M214

Flat foot [pes planus] (acquired)

M2147

Flat foot [pes planus] (acquired), ankle and foot

M215

Acquired clawhand, clubhand, clawfoot and clubfoot

M2154

Acquired clawhand, clubhand, clawfoot and clubfoot, hand

M2157

Acquired clawhand, clubhand, clawfoot and clubfoot, ankle and foot

M216

Other acquired deformities of ankle and foot

M2167

Other acquired deformities of ankle and foot, ankle and foot

M217

Unequal limb length (acquired)

M2170

Unequal limb length (acquired), multiple sites

M2171

Unequal limb length (acquired), shoulder region

M2172

Unequal limb length (acquired), upper arm

M2173

Unequal limb length (acquired), forearm

M2174

Unequal limb length (acquired), hand

M2175

Unequal limb length (acquired), pelvic and thigh

M2176

Unequal limb length (acquired), lower leg

M2177

Unequal limb length (acquired), ankle and foot

M2178

Unequal limb length (acquired), other sites

M2179

Unequal limb length (acquired), unspecified site

M218

Other specified acquired deformities of limbs

M2180

Other specified acquired deformities of limbs, multiple sites

M2181

Other specified acquired deformities of limbs, shoulder region

M2182

Other specified acquired deformities of limbs, upper arm

M2183

Other specified acquired deformities of limbs, forearm

M2184

Other specified acquired deformities of limbs, hand

M2185

Other specified acquired deformities of limbs, pelvic and thigh

M2186

Other specified acquired deformities of limbs, lower leg 1

M2187

Other specified acquired deformities of limbs, ankle and foot 1

M2188

Other specified acquired deformities of limbs, other sites 1

M2189

Other specified acquired deformities of limbs, unspecified site 1

M219

Acquired deformity of limb, unspecified 1

M2190

Acquired deformity of limb, unspecified, multiple sites 1

M2191

Acquired deformity of limb, unspecified, shoulder region 1

M2192

Acquired deformity of limb, unspecified, upper arm 1

-80-

Kode

Deskripsi

M2193

Acquired deformity of limb, unspecified, forearm 1

M2194

Acquired deformity of limb, unspecified, hand 1

M2195

Acquired deformity of limb, unspecified, pelvic and thigh 1

M2196

Acquired deformity of limb, unspecified, lower leg 1

M2197

Acquired deformity of limb, unspecified, ankle and foot 1

M2198

Acquired deformity of limb, unspecified, other sites 1

M2199

Acquired deformity of limb, unspecified, unspecified site 1

M220

Recurrent dislocation of patella 1

M221

Recurrent subluxation of patella 1

M222

Patellofemoral disorders 1

M223

Other derangements of patella 1

M224

Chondromalacia patellae

M228

Other disorders of patella

M229

Disorder of patella, unspecified

M230

Cystic meniscus

M2300

Cystic meniscus, multiple sites

M2301

Cystic meniscus, anterior cruciate ligament or anterior horn medial meniscus

M2302

M2304

Cystic meniscus, posterior cruciate ligament or anterior horn medial meniscus Cystic meniscus, medial collateral ligament or other and unspecified medial meniscus Cystic meniscus, lateral collateral ligament or anterior horn of lateral meniscus

M2305

Cystic meniscus, posterior horn of lateral meniscus

M2306

Cystic meniscus, other and unspecified lateral meniscus

M2307

Cystic meniscus, capsular ligament

M2309

Cystic meniscus, unspecified ligament or unspecified meniscus

M231

Discoid meniscus (congenital)

M2310

M2315

Discoid meniscus Discoid meniscus meniscus Discoid meniscus meniscus Discoid meniscus medial meniscus Discoid meniscus meniscus Discoid meniscus

M2316

Discoid meniscus (congenital), other and unspecified lateral meniscus

M2317

Discoid meniscus (congenital),capsular ligament

M2319

Discoid meniscus (congenital), unspecified ligament or unspecified meniscus

M232

Derangement of meniscus due to old tear or injury

M2320

Derangement of meniscus due to old tear Derangement of meniscus due to old tear anterior horn medial meniscus Derangement of meniscus due to old tear anterior horn medial meniscus Derangement of meniscus due to old tear other and unspecified medial meniscus

M2303

M2311 M2312 M2313 M2314

M2321 M2322 M2323

(congenital), multiple sites (congenital), anterior cruciate ligament or anterior horn medial (congenital), posterior cruciate ligament or anterior horn medial (congenital), medial collateral ligament or other and unspecified (congenital), lateral collateral ligament or anterior horn of lateral (congenital), posterior horn of lateral meniscus

or injury, multiple sites or injury, anterior cruciate ligament or or injury, posterior cruciate ligament or or injury, medial collateral ligament or

-81-

Kode M2324 M2325 M2326 M2327 M2329 M233 M2330

Deskripsi Derangement of meniscus due to old tear or injury, lateral collateral ligament or anterior horn of lateral meniscus Derangement of meniscus due to old tear or injury, posterior horn of lateral meniscus Derangement of meniscus due to old tear or injury, other and unspecified lateral meniscus Derangement of meniscus due to old tear or injury, capsular ligament Derangement of meniscus due to old tear or injury, unspecified ligament or unspecified meniscus Other meniscus derangements

M2335

Other meniscus derangements, Other meniscus derangements, meniscus Other meniscus derangements, meniscus Other meniscus derangements, medial meniscus Other meniscus derangements, meniscus Other meniscus derangements,

M2336

Other meniscus derangements, other and unspecified lateral meniscus

M2337

Other meniscus derangements, capsular ligament

M2339

Other meniscus derangements, unspecified ligament or unspecified meniscus

M234

Loose body in knee

M235

Chronic instability of knee

M2350

M2355

Chronic instability Chronic instability meniscus Chronic instability meniscus Chronic instability medial meniscus Chronic instability meniscus Chronic instability

M2356

Chronic instability of knee, other and unspecified lateral meniscus

M2357

Chronic instability of knee, capsular ligament

M2359

Chronic instability of knee, unspecified ligament or unspecified meniscus

M236

Other spontaneous disruption of ligament(s) of knee

M2360

M2367

Other spontaneous disruption of ligament(s) Other spontaneous disruption of ligament(s) anterior horn medial meniscus Other spontaneous disruption of ligament(s) anterior horn medial meniscus Other spontaneous disruption of ligament(s) other and unspecified medial meniscus Other spontaneous disruption of ligament(s) anterior horn of lateral meniscus Other spontaneous disruption of ligament(s) meniscus Other spontaneous disruption of ligament(s) meniscus Other spontaneous disruption of ligament(s)

M2369

Other spontaneous disruption of ligament(s) of knee, unspecified ligament or

M2331 M2332 M2333 M2334

M2351 M2352 M2353 M2354

M2361 M2362 M2363 M2364 M2365 M2366

multiple sites anterior cruciate ligament or anterior horn medial posterior cruciate ligament or anterior horn medial medial collateral ligament or other and unspecified lateral collateral ligament or anterior horn of lateral posterior horn of lateral meniscus

of knee, multiple sites of knee, anterior cruciate ligament or anterior horn medial of knee, posterior cruciate ligament or anterior horn medial of knee, medial collateral ligament or other and unspecified of knee, lateral collateral ligament or anterior horn of lateral of knee, posterior horn of lateral meniscus

of knee, multiple sites of knee, anterior cruciate ligament or of knee, posterior cruciate ligament or of knee, medial collateral ligament or of knee, lateral collateral ligament or of knee, posterior horn of lateral of knee, other and unspecified lateral of knee, capsular ligament

-82-

Kode

Deskripsi unspecified meniscus

M238

Other internal derangements of knee

M2380

M2385

Other internal derangements Other internal derangements medial meniscus Other internal derangements medial meniscus Other internal derangements unspecified medial meniscus Other internal derangements lateral meniscus Other internal derangements

M2386

Other internal derangements of knee, other and unspecified lateral meniscus

M2387

Other internal derangements of knee, capsular ligament

M2389

Other internal derangements of knee, unspecified ligament or unspecified meniscus

M239

Internal derangement of knee, unspecified

M2390

M2395

Internal derangement of knee, Internal derangement of knee, horn medial meniscus Internal derangement of knee, horn medial meniscus Internal derangement of knee, unspecified medial meniscus Internal derangement of knee, horn of lateral meniscus Internal derangement of knee,

M2396

Internal derangement of knee, unspecified, other and unspecified lateral meniscus

M2397

M240

Internal derangement of knee, unspecified, capsular ligament Internal derangement of knee, unspecified, unspecified ligament or unspecified meniscus Loose body in joint

M2400

Loose body in joint, multiple sites

M2401

Loose body in joint, shouder region

M2402

Loose body in joint, upper arm

M2403

Loose body in joint, forearm

M2404

Loose body in joint, hand

M2405

Loose body in joint, pelvic and thigh

M2406

Loose body in joint, lower leg

M2407

Loose body in joint, ankle and foot

M2408

Loose body in joint, other sites

M2409

Loose body in joint, unspecified site

M241

Other articular cartilage disorders

M2410

Other articular cartilage disorders, multiple sites

M2411

Other articular cartilage disorders, shoulder region

M2412

Other articular cartilage disorders, upper arm

M2413

Other articular cartilage disorders, forearm

M2414

Other articular cartilage disorders, hand

M2415

Other articular cartilage disorders, pelvic and thigh

M2381 M2382 M2383 M2384

M2391 M2392 M2393 M2394

M2399

of knee, multiple sites of knee, anterior cruciate ligament or anterior horn of knee, posterior cruciate ligament or anterior horn of knee, medial collateral ligament or other and of knee, lateral collateral ligament or anterior horn of of knee, posterior horn of lateral meniscus

unspecified, multiple sites unspecified,anterior cruciate ligament or anterior unspecified, posterior cruciate ligament or anterior unspecified, medial collateral ligament or other and unspecified, lateral collateral ligament or anterior unspecified, posterior horn of lateral meniscus

-83-

Kode

Deskripsi

M2416

Other articular cartilage disorders, lower leg

M2417

Other articular cartilage disorders, ankle and foot

M2418

Other articular cartilage disorders, other sites

M2419

Other articular cartilage disorders, unspecified site

M242

Disorder of ligament

M2420

Disorder of ligament, multiple sites

M2421

Disorder of ligament, shouder region

M2422

Disorder of ligament, upper arm

M2423

Disorder of ligament, forearm

M2424

Disorder of ligament, hand

M2425

Disorder of ligament, pelvic and thigh

M2426

Disorder of ligament, lower leg

M2427

Disorder of ligament, ankle and foot

M2428

Disorder of ligament, other sites

M2429

Disorder of ligament, unspecified site

M243

M2432

Pathological Pathological sites Pathological region Pathological

M2433

Pathological dislocation and subluxation of joint not elsewhere classified, forearm

M2434

M244

Pathological dislocation and subluxation of joint Pathological dislocation and subluxation of joint thigh Pathological dislocation and subluxation of joint Pathological dislocation and subluxation of joint foot Pathological dislocation and subluxation of joint Pathological dislocation and subluxation of joint unspecified site Recurrent dislocation and subluxation of joint

M2440

Recurrent dislocation and subluxation of joint, multiple sites

M2441

Recurrent dislocation and subluxation of joint, shoulder region

M2442

Recurrent dislocation and subluxation of joint, upper arm

M2443

Recurrent dislocation and subluxation of joint, forearm

M2444

Recurrent dislocation and subluxation of joint, hand

M2445

Recurrent dislocation and subluxation of joint, pelvic and thigh

M2446

Recurrent dislocation and subluxation of joint, lower leg

M2447

Recurrent dislocation and subluxation of joint, ankle and foot

M2448

Recurrent dislocation and subluxation of joint, other sites

M2449

Recurrent dislocation and subluxation of joint, unspecified site

M245

Contracture of joint

M2450

Contracture of joint, multiple sites

M2451

Contracture of joint, shouder region

M2430 M2431

M2435 M2436 M2437 M2438 M2439

dislocation and subluxation of joint, not elsewhere classified dislocation and subluxation of joint not elsewhere classified, multiple dislocation and subluxation of joint not elsewhere classified, shoulder dislocation and subluxation of joint not elsewhere classified, upper arm not elsewhere classified, hand not elsewhere classified, pelvic and not elsewhere classified, lower leg not elsewhere classified, ankle and not elsewhere classified, other sites not elsewhere classified,

-84-

Kode

Deskripsi

M2452

Contracture of joint, upper arm

M2453

Contracture of joint, forearm

M2454

Contracture of joint, hand

M2455

Contracture of joint, pelvic and thigh

M2456

Contracture of joint, lower leg

M2457

Contracture of joint, ankle and foot

M2458

Contracture of joint, other sites

M2459

Contracture of joint, unspecified site

M246

Ankylosis of joint

M2460

Ankylosis of joint, multiple sites

M2461

Ankylosis of joint, shoulder region

M2462

Ankylosis of joint, upper arm

M2463

Ankylosis of joint, forearm

M2464

Ankylosis of joint, hand

M2465

Ankylosis of joint, pelvic and thigh

M2466

Ankylosis of joint, lower leg

M2467

Ankylosis of joint, ankle and foot

M2468

Ankylosis of joint, other sites

M2469

Ankylosis of joint, unspecified site

M247

Protrusio acetabuli

M2475

Protrusio acetabuli, pelvic andthigh

M248

Other specific joint derangements, not elsewhere classified

M2480

Other specific joint derangements, not elsewhere classified, multiple sites

M2481

Other specific joint derangements, not elsewhere classified, shoulder region

M2482

Other specific joint derangements, not elsewhere classified, upper arm

M2483

Other specific joint derangements, not elsewhere classified, forearm

M2484

Other specific joint derangements, not elsewhere classified, hand

M2485

Other specific joint derangements, not elsewhere classified, pelvic and thigh

M2486

Other specific joint derangements, not elsewhere classified, lower leg

M2487

Other specific joint derangements, not elsewhere classified, ankle and foot

M2488

Other specific joint derangements, not elsewhere classified, other sites

M2489

Other specific joint derangements, not elsewhere classified, unspecified site

M249

Joint derangement, unspecified

M2490

Joint derangement, unspecified, multiple sites

M2491

Joint derangement, unspecified, shoulder region

M2492

Joint derangement, unspecified, upper arm

M2493

Joint derangement, unspecified, forearm

M2494

Joint derangement, unspecified, hand

M2495

Joint derangement, unspecified, pelvic and thigh

M2496

Joint derangement, unspecified, lower leg

M2497

Joint derangement, unspecified, ankle and foot

M2498

Joint derangement, unspecified, other sites

-85-

Kode

Deskripsi

M2499

Joint derangement, unspecified, unspecified site

M250

Haemarthrosis

M2500

Haemarthrosis, multiple sites

M2501

Haemarthrosis, shoulder region

M2502

Haemarthrosis, upper arm

M2503

Haemarthrosis, forearm

M2504

Haemarthrosis, hand

M2505

Haemarthrosis, pelvic and thigh

M2506

Haemarthrosis, lower leg

M2507

Haemarthrosis, ankle and foot

M2508

Haemarthrosis, other sites

M2509

Haemarthrosis, unspecified site

M251

Fistula of joint

M2510

Fistula of joint, multiple sites

M2511

Fistula of joint, shoulder region

M2512

Fistula of joint, upper arm

M2513

Fistula of joint, forearm

M2514

Fistula of joint, hand

M2515

Fistula of joint, pelvic and thigh

M2516

Fistula of joint, lower leg

M2517

Fistula of joint, ankle and foot

M2518

Fistula of joint, other sites

M2519

Fistula of joint, unspecified site

M252

Flail joint

M2520

Flail joint, multiple sites

M2521

Flail joint, shoulder region

M2522

Flail joint, upper arm

M2523

Flail joint, forearm

M2524

Flail joint, hand

M2525

Flail joint, pelvic and thigh

M2526

Flail joint, lower leg

M2527

Flail joint, ankle and foot

M2528

Flail joint, other sites

M2529

Flail joint, unspecified site

M253

Other instability of joint

M2530

Other instability of joint, multiple sites

M2531

Other instability of joint, shoulder region

M2532

Other instability of joint, upper arm

M2533

Other instability of joint, forearm

M2534

Other instability of joint, hand

M2535

Other instability of joint, pelvic and thigh

M2536

Other instability of joint, lower leg

-86-

Kode

Deskripsi

M2537

Other instability of joint, ankle and foot

M2538

Other instability of joint, other sites

M2539

Other instability of joint, unspecified site

M254

Effusion of joint

M2540

Effusion of joint, multiple sites

M2541

Effusion of joint, shoulder region

M2542

Effusion of joint, upper arm

M2543

Effusion of joint, forearm

M2544

Effusion of joint, hand

M2545

Effusion of joint, pelvic and thigh

M2546

Effusion of joint, lower leg

M2547

Effusion of joint, ankle and foot

M2548

Effusion of joint, other sites

M2549

Effusion of joint, unspecified site

M255

Pain in joint

M2550

Pain in joint, multiple sites

M2551

Pain in joint, shouder region

M2552

Pain in joint, upper arm

M2553

Pain in joint, forearm

M2554

Pain in joint, hand

M2555

Pain in joint, pelvic and thigh

M2556

Pain in joint, lower leg

M2557

Pain in joint, ankle and foot

M2558

Pain in joint, other sites

M2559

Pain in joint, unspecified site

M256

Stiffness of joint, not elsewhere classified

M2560

Stiffness of joint, not elsewhere classified, multiple sites

M2561

Stiffness of joint, not elsewhere classified, shoulder region

M2562

Stiffness of joint, not elsewhere classified, upper arm

M2563

Stiffness of joint, not elsewhere classified, forearm

M2564

Stiffness of joint, not elsewhere classified, hand

M2565

Stiffness of joint, not elsewhere classified, pelvic and thigh

M2566

Stiffness of joint, not elsewhere classified, lower leg

M2567

Stiffness of joint, not elsewhere classified, ankle and foot

M2568

Stiffness of joint, not elsewhere classified, other sites

M2569

Stiffness of joint, not elsewhere classified, unspecified site

M257

Osteophyte

M2570

Osteophyte, multiple sites

M2571

Osteophyte, shoulder region

M2572

Osteophyte, upper arm

M2573

Osteophyte, forearm

M2574

Osteophyte, hand

-87-

Kode

Deskripsi

M2575

Osteophyte, pelvic and thigh

M2576

Osteophyte, lower leg

M2577

Osteophyte, ankle and foot

M2578

Osteophyte, other sites

M2579

Osteophyte, unspecified site

M258

Other specified joint disorders

M2580

Other specified joint disorders, multiple sites

M2581

Other specified joint disorders, sholder region

M2582

Other specified joint disorders, upper arm

M2583

Other specified joint disorders, forearm

M2584

Other specified joint disorders, hand

M2585

Other specified joint disorders, pelvic and thigh

M2586

Other specified joint disorders, lower leg

M2587

Other specified joint disorders, ankle and foot

M2588

Other specified joint disorders, other sites

M2589

Other specified joint disorders, unspecified site

M259

Joint disorder, unspecified

M2590

Joint disorder, unspecified, multiple sites

M2591

Joint disorder, unspecified, shoulder region

M2592

Joint disorder, unspecified, upper arm

M2593

Joint disorder, unspecified, forearm

M2594

Joint disorder, unspecified, hand

M2595

Joint disorder, unspecified, pelvic and thigh

M2596

Joint disorder, unspecified, lower leg

M2597

Joint disorder, unspecified, ankle and foot

M2598

Joint disorder, unspecified, other sites

M2599

Joint disorder, unspecified, unspecified site

M300

Polyarteritis nodosa

M301

Polyarteritis with lung involvement [churg-strauss]

M302

Juvenile polyarteritis

M303

Mucocutaneous lymph node syndrome [kawasaki]

M308

Other conditions related to polyarteritis nodosa

M310

Hypersensitivity angiitis

M311

Thrombotic microangiopathy

M312

Lethal midline granuloma

M313

Wegener's granulomatosis

M314

Aortic arch syndrome [takayasu]

M315

Giant cell arteritis with polymyalgia rheumatica

M316

Other giant cell arteritis

M317

Microscopic polyangiitis

M318

Other specified necrotizing vasculopathies

M319

Necrotizing vasculopathy, unspecified

-88-

Kode

Deskripsi

M320

Drug-induced systemic lupus erythematosus

M321

Systemic lupus erythematosus with organ or system involvement

M328

Other forms of systemic lupus erythematosus

M329

Systemic lupus erythematosus, unspecified

M330

Juvenile dermatomyositis

M331

Other dermatomyositis

M332

Polymyositis

M339

Dermatopolymyositis, unspecified

M340

Progressive systemic sclerosis

M341

CR(E)ST syndrome

M342

Systemic sclerosis induced by drugs and chemicals

M348

Other forms of systemic sclerosis

M349

Systemic sclerosis, unspecified

M350

Sicca syndrome [sjogren]

M351

Other overlap syndromes

M352

Behcet's disease

M353

Polymyalgia rheumatica

M354

Diffuse (eosinophilic) fasciitis

M355

Multifocal fibrosclerosis

M356

Relapsing panniculitis [Weber-Christian]

M357

Hypermobility syndrome

M358

Other specified systemic involvement of connective tissue

M359

Systemic involvement of connective tissue, unspecified

M360

Dermato(poly)myositis in neoplastic disease

M361

Arthropathy in neoplastic disease

M362

Haemophilic arthropathy

M363

Arthropathy in other blood disorders

M364

Arthropathy in hypersensitivity reactions classified elsewhere

M368

Systemic disorder of connective tissue in other diseases classified elsewhere

M400

Postural kyphosis

M4000

Postural kyphosis, multiple sites in spine

M4001

Postural kyphosis, occipito-atlanto-axial region

M4002

Postural kyphosis, cervical region

M4003

Postural kyphosis, cervicothoracic region

M4004

Postural kyphosis, thoracic region

M4005

Postural kyphosis, thoracolumbar region

M4006

Postural kyphosis, lumbar region

M4007

Postural kyphosis, lumbosacral region

M4008

Postural kyphosis, sacral and sacrococcygeal region

M4009

Postural kyphosis, site unspecified

M401

Other secondary kyphosis

M4010

Other secondary kyphosis, multiple sites in spine

-89-

Kode

Deskripsi

M4011

Other secondary kyphosis, occipito-atlanto-axial region

M4012

Other secondary kyphosis, cervical region

M4013

Other secondary kyphosis, cervicothoracic region

M4014

Other secondary kyphosis, thoracic region

M4015

Other secondary kyphosis, thoracolumbar region

M4016

Other secondary kyphosis, lumbar region

M4017

Other secondary kyphosis, lumbosacral region

M4018

Other secondary kyphosis, sacral and sacrococcygeal region

M4019

Other secondary kyphosis, site unspecified

M402

Other and unspecified kyphosis

M4020

Other and unspecified kyphosis, multiple sites in spine

M4021

Other and unspecified kyphosis, occipito-atlanto-axial region

M4022

Other and unspecified kyphosis, cervical region

M4023

Other and unspecified kyphosis, cervicothoracic region

M4024

Other and unspecified kyphosis, thoracic region

M4025

Other and unspecified kyphosis, thoracolumbar region

M4026

Other and unspecified kyphosis, lumbar region

M4027

Other and unspecified kyphosis, lumbosacral region

M4028

Other and unspecified kyphosis, sacral and sacrococcygeal region

M4029

Other and unspecified kyphosis, site unspecified

M403

Flatback syndrome

M4030

Flatback syndrome, multiple sites in spine

M4031

Flatback syndrome, occipito-atlanto-axial region

M4032

Flatback syndrome, cervical region

M4033

Flatback syndrome, cervicothoracic region

M4034

Flatback syndrome, thoracic region

M4035

Flatback syndrome, thoracolumbar region

M4036

Flatback syndrome, lumbar region

M4037

Flatback syndrome, lumbosacral region

M4038

Flatback syndrome, sacral and sacrococcygeal region

M4039

Flatback syndrome, site unspecified

M404

Other lordosis

M4040

Other lordosis, multiple sites in spine

M4041

Other lordosis, occipito-atlanto-axial region

M4042

Other lordosis, cervical region

M4043

Other lordosis, cervicothoracic region

M4044

Other lordosis, thoracic region

M4045

Other lordosis, thoracolumbar region

M4046

Other lordosis, lumbar region

M4047

Other lordosis, lumbosacral region

M4048

Other lordosis, sacral and sacrococcygeal region

M4049

Other lordosis, site unspecified

-90-

Kode

Deskripsi

M405

Lordosis, unspecified

M4050

Lordosis unspecified, multiple sites in spine

M4051

Lordosis, unspecified, occipito-atlanto-axial region

M4052

Lordosis, unspecified, cervical region

M4053

Lordosis, unspecified, cervicothoracic region

M4054

Lordosis, unspecified, thoracic region

M4055

Lordosis, unspecified, thoracolumbar region

M4056

Lordosis, unspecified, lumbar region

M4057

Lordosis, unspecified, lumbosacral region

M4058

Lordosis, unspecified, sacral and sacrococcygeal region

M4059

Lordosis, unspecified, site unspecified

M410

Infantile idiopathic scoliosis

M4100

Infantile idiopathic scoliosis, multiple sites in spine

M4101

Infantile idiopathic scoliosis, occipito-atlanto-axial region

M4102

Infantile idiopathic scoliosis , cervical region

M4103

Infantile idiopathic scoliosis, cervicothoracic region

M4104

Infantile idiopathic scoliosis, thoracic region

M4105

Infantile idiopathic scoliosis, thoracolumbar region

M4106

Infantile idiopathic scoliosis, lumbar region

M4107

Infantile idiopathic scoliosis, lumbosacral region

M4108

Infantile idiopathic scoliosis, sacral and sacrococcygeal region

M4109

Infantile idiopathic scoliosis, site unspecified

M411

Juvenile idiopathic scoliosis

M4110

Juvenile idiopathic scoliosis, multiple sites in spine

M4111

Juvenile idiopathic scoliosis, occipito-atlanto-axial region

M4112

Juvenile idiopathic scoliosis, cervical region

M4113

Juvenile idiopathic scoliosis, cervicothoracic region

M4114

Juvenile idiopathic scoliosis, thoracic region

M4115

Juvenile idiopathic scoliosis, thoracolumbar region

M4116

Juvenile idiopathic scoliosis, lumbar region

M4117

Juvenile idiopathic scoliosis, lumbosacral region

M4118

Juvenile idiopathic scoliosis, sacral and sacrococcygeal region

M4119

Juvenile idiopathic scoliosis, site unspecified

M412

Other idiopathic scoliosis

M4120

Other idiopathic scoliosis, multiple sites in spine

M4121

Other idiopathic scoliosis, occipito-atlanto-axial region

M4122

Other idiopathic scoliosis, cervical region

M4123

Other idiopathic scoliosis, cervicothoracic region

M4124

Other idiopathic scoliosis, thoracic region

M4125

Other idiopathic scoliosis, thoracolumbar region

M4126

Other idiopathic scoliosis, lumbar region

M4127

Other idiopathic scoliosis, lumbosacral region

-91-

Kode

Deskripsi

M4128

Other idiopathic scoliosis, sacral and sacrococcygeal region

M4129

Other idiopathic scoliosis, site unspecified

M413

Thoracogenic scoliosis

M4130

Thoracogenic scoliosis, multiple sites in spine

M4131

Thoracogenic scoliosis, occipito-atlanto-axial region

M4132

Thoracogenic scoliosis, cervical region

M4133

Thoracogenic scoliosis, cervicothoracic region

M4134

Thoracogenic scoliosis, thoracic region

M4135

Thoracogenic scoliosis, thoracolumbar region

M4136

Thoracogenic scoliosis, lumbar region

M4137

Thoracogenic scoliosis, lumbosacral region

M4138

Thoracogenic scoliosis, sacral and sacrococcygeal region

M4139

Thoracogenic scoliosis, site unspecified

M414

Neuromuscular scoliosis

M4140

Neuromuscular scoliosis, multiple sites in spine

M4141

Neuromuscular scoliosis, occipito-atlanto-axial region

M4142

Neuromuscular scoliosis, cervical region

M4143

Neuromuscular scoliosis, cervicothoracic region

M4144

Neuromuscular scoliosis, thoracic region

M4145

Neuromuscular scoliosis, thoracolumbar region

M4146

Neuromuscular scoliosis, lumbar region

M4147

Neuromuscular scoliosis, lumbosacral region

M4148

Neuromuscular scoliosis, sacral and sacrococcygeal region

M4149

Neuromuscular scoliosis, site unspecified

M415

Other secondary scoliosis

M4150

Other secondary scoliosis, multiple sites in spine

M4151

Other secondary scoliosis, occipito-atlanto-axial region

M4152

Other secondary scoliosis, cervical region

M4153

Other secondary scoliosis, cervicothoracic region

M4154

Other secondary scoliosis, thoracic region

M4155

Other secondary scoliosis, thoracolumbar region

M4156

Other secondary scoliosis, lumbar region

M4157

Other secondary scoliosis, lumbosacral region

M4158

Other secondary scoliosis, sacral and sacrococcygeal region

M4159

Other secondary scoliosis, site unspecified

M418

Other forms of scoliosis

M4180

Other forms of scoliosis, multiple sites in spine

M4181

Other forms of scoliosis, occipito-atlanto-axial region

M4182

Other forms of scoliosis, cervical region

M4183

Other forms of scoliosis, cervicothoracic region

M4184

Other forms of scoliosis, thoracic region

M4185

Other forms of scoliosis, thoracolumbar region

-92-

Kode

Deskripsi

M4186

Other forms of scoliosis, lumbar region

M4187

Other forms of scoliosis, lumbosacral region

M4188

Other forms of scoliosis, sacral and sacrococcygeal region

M4189

Other forms of scoliosis, site unspecified

M419

Scoliosis, unspecified

M4190

Scoliosis, multiple sites in spine

M4191

Scoliosis, unspecified, occipito-atlanto-axial region

M4192

Scoliosis, unspecified, cervical region

M4193

Scoliosis, unspecified, cervicothoracic region

M4194

Scoliosis, unspecified, thoracic region

M4195

Scoliosis, unspecified, thoracolumbar region

M4196

Scoliosis, unspecified, lumbar region

M4197

Scoliosis, unspecified, lumbosacral region

M4198

Scoliosis, unspecified, sacral and sacrococcygeal region

M4199

Scoliosis, unspecified, site unspecified

M420

Juvenile osteochondrosis of spine

M4200

Juvenile osteochondrosis of spine, multiple sites in spine

M4201

Juvenile osteochondrosis of spine, occipito-atlanto-axial region

M4202

Juvenile osteochondrosis of spine, cervical region

M4203

Juvenile osteochondrosis of spine, cervicothoracic region

M4204

Juvenile osteochondrosis of spine, thoracic region

M4205

Juvenile osteochondrosis of spine, thoracolumbar region

M4206

Juvenile osteochondrosis of spine, lumbar region

M4207

Juvenile osteochondrosis of spine, lumbosacral region

M4208

Juvenile osteochondrosis of spine, sacral and sacrococcygeal region

M4209

Juvenile osteochondrosis of spine, site unspecified

M421

Adult osteochondrosis of spine

M4210

Adult osteochondrosis of spine, multiple sites in spine

M4211

Adult osteochondrosis of spine, occipito-atlanto-axial region

M4212

Adult osteochondrosis of spine, cervical region

M4213

Adult osteochondrosis of spine, cervicothoracic region

M4214

Adult osteochondrosis of spine, thoracic region

M4215

Adult osteochondrosis of spine, thoracolumbar region

M4216

Adult osteochondrosis of spine, lumbar region

M4217

Adult osteochondrosis of spine, lumbosacral region

M4218

Adult osteochondrosis of spine, sacral and sacrococcygeal region

M4219

Adult osteochondrosis of spine, site unspecified

M429

Spinal osteochondrosis, unspecified

M4290

Spinal osteochondrosis, unspecified, multiple sites in spine

M4291

Spinal osteochondrosis, unspecified, occipito-atlanto-axial region

M4292

Spinal osteochondrosis, unspecified, cervical region

M4293

Spinal osteochondrosis, unspecified, cervicothoracic region

-93-

Kode

Deskripsi

M4294

Spinal osteochondrosis, unspecified, thoracic region

M4295

Spinal osteochondrosis, unspecified, thoracolumbar region

M4296

Spinal osteochondrosis, unspecified, lumbar region

M4297

Spinal osteochondrosis, unspecified, lumbosacral region

M4298

Spinal osteochondrosis, unspecified, sacral and sacrococcygeal region

M4299

Spinal osteochondrosis, unspecified, site unspecified

M430

Spondylolysis

M4300

Spondylolysis, multiple sites in spine

M4301

Spondylolysis, occipito-atlanto-axial region

M4302

Spondylolysis, cervical region

M4303

Spondylolysis, cervicothoracic region

M4304

Spondylolysis, thoracic region

M4305

Spondylolysis, thoracolumbar region

M4306

Spondylolysis, lumbar region

M4307

Spondylolysis, lumbosacral region

M4308

Spondylolysis, sacral and sacrococcygeal region

M4309

Spondylolysis, site unspecified

M431

Spondylolisthesis

M4310

Spondylolisthesis, multiple sites in spine

M4311

Spondylolisthesis, occipito-atlanto-axial region

M4312

Spondylolisthesis, cervical region

M4313

Spondylolisthesis, cervicothoracic region

M4314

Spondylolisthesis, thoracic region

M4315

Spondylolisthesis, thoracolumbar region

M4316

Spondylolisthesis, lumbar region

M4317

Spondylolisthesis, lumbosacral region

M4318

Spondylolisthesis, sacral and sacrococcygeal region

M4319

Spondylolisthesis, site unspecified

M432

Other fusion of spine

M4320

Other fusion of spine, multiple sites in spine

M4321

Other fusion of spine, occipito-atlanto-axial region

M4322

Other fusion of spine, cervical region

M4323

Other fusion of spine, cervicothoracic region

M4324

Other fusion of spine, thoracic region

M4325

Other fusion of spine, thoracolumbar region

M4326

Other fusion of spine, lumbar region

M4327

Other fusion of spine, lumbosacral region

M4328

Other fusion of spine, sacral and sacrococcygeal region

M4329

Other fusion of spine, site unspecified

M433

Recurrent atlantoaxial subluxation with myelopathy

M4330

Recurrent atlantoaxial subluxation with myelopathy, multiple sites in spine

M4331

Recurrent atlantoaxial subluxation with myelopathy, occipito-atlanto-axial region

-94-

Kode

Deskripsi

M4332

Recurrent atlantoaxial subluxation with myelopathy, cervical region

M4333

Recurrent atlantoaxial subluxation with myelopathy, cervicothoracic region

M4334

Recurrent atlantoaxial subluxation with myelopathy, thoracic region

M4335

Recurrent atlantoaxial subluxation with myelopathy, thoracolumbar region

M4336

Recurrent atlantoaxial subluxation with myelopathy, lumbar region

M4337

M4339

Recurrent atlantoaxial subluxation with myelopathy, lumbosacral region Recurrent atlantoaxial subluxation with myelopathy, sacral and sacrococcygeal region Recurrent atlantoaxial subluxation with myelopathy, site unspecified

M434

Other recurrent atlantoaxial subluxation

M4340

Other recurrent atlantoaxial subluxation, multiple sites in spine

M4341

Other recurrent atlantoaxial subluxation, occipito-atlanto-axial region

M4342

Other recurrent atlantoaxial subluxation, cervical region

M4343

Other recurrent atlantoaxial subluxation, cervicothoracic region

M4344

Other recurrent atlantoaxial subluxation, thoracic region

M4345

Other recurrent atlantoaxial subluxation, thoracolumbar region

M4346

Other recurrent atlantoaxial subluxation, lumbar region

M4347

Other recurrent atlantoaxial subluxation, lumbosacral region

M4348

Other recurrent atlantoaxial subluxation, sacral and sacrococcygeal region

M4349

Other recurrent atlantoaxial subluxation, site unspecified

M435

Other recurrent vertebral subluxation

M4350

Other recurrent vertebral subluxation, multiple sites in spine

M4351

Other recurrent vertebral subluxation, occipito-atlanto-axial region

M4352

Other recurrent vertebral subluxation, cervical region

M4353

Other recurrent vertebral subluxation, cervicothoracic region

M4354

Other recurrent vertebral subluxation, thoracic region

M4355

Other recurrent vertebral subluxation, thoracolumar region

M4356

Other recurrent vertebral subluxation, lumbar region

M4357

Other recurrent vertebral subluxation, lumbosacral region

M4358

Other recurrent vertebral subluxation, sacral and sacrococcygeal region

M4359

Other recurrent vertebral subluxation, site unspecified

M436

Torticollis

M4360

Torticollis, multiple sites in spine

M4361

Torticollis, occipito-atlanto-axial region

M4362

Torticollis, cervical region

M4363

Torticollis, cervicothoracic region

M4364

Torticollis, thoracic region

M4365

Torticollis, thoracolumar region

M4366

Torticollis, lumbar region

M4367

Torticollis, lumbosacral region

M4368

Torticollis, sacral and sacrococcygeal region

M4369

Torticollis, site unspecified

M438

Other specified deforming dorsopathies

M4338

-95-

Kode

Deskripsi

M4380

Other specified deforming dorsopathies, multiple sites

M4381

Other specified deforming dorsopathies, occipito and atlanto and axial region

M4382

Other specified deforming dorsopathies, cervical region

M4383

Other specified deforming dorsopathies, cervicothoracic region

M4384

Other specified deforming dorsopathies, thoracic region

M4385

Other specified deforming dorsopathies, thoracolumbar region

M4386

Other specified deforming dorsopathies, lumbar region

M4387

Other specified deforming dorsopathies, lumbosacral region

M4388

Other specified deforming dorsopathies, sacral and sacrococcygeal region

M4389

Other specified deforming dorsopathies, site unspecified

M439

Deforming dorsopathy, unspecified

M4390

Deforming dorsopathy, unspecified, multiple sites

M4391

Deforming dorsopathy, unspecified, occipito-atlanto-axial region

M4392

Deforming dorsopathy, unspecified, cervical region

M4393

Deforming dorsopathy, unspecified, cervicothoracic region

M4394

Deforming dorsopathy, unspecified, thoracic region

M4395

Deforming dorsopathy, unspecified, thoracolumbar region

M4396

Deforming dorsopathy, unspecified, lumbar region

M4397

Deforming dorsopathy, unspecified, lumbosacral region

M4398

Deforming dorsopathy, unspecified, sacral and sacrococcygeal region

M4399

Deforming dorsopathy, unspecified, site unspecified

M45

Ankylosing spondylitis

M450

Ankylosing spondylitis, multiple sites in spine

M451

Ankylosing spondylitis, occipito-atlanto-axial region

M452

Ankylosing spondylitis, cervical region

M453

Ankylosing spondylitis, cervicothoracic region

M454

Ankylosing spondylitis, thoracic region

M455

Ankylosing spondylitis, thoracolumbar region

M456

Ankylosing spondylitis, lumbar region

M457

Ankylosing spondylitis, lumbosacral region

M458

Ankylosing spondylitis, sacral and sacrococcygeal region

M459

Ankylosing spondylitis, site unspecified

M46

Spinal enthesopathy

M4600

Spinal enthesopathy, multiple sites

M4601

Spinal enthesopathy, occipito-atlanto-axial region

M4602

Spinal enthesopathy, cervical region

M4603

Spinal enthesopathy, cervicothoracic region

M4604

Spinal enthesopathy, thoracic region

M4605

Spinal enthesopathy, thoracolumbar region

M4606

Spinal enthesopathy, lumbar region

M4607

Spinal enthesopathy, lumbosacral region

M4608

Spinal enthesopathy, sacral and sacrococcygeal region

-96-

Kode

Deskripsi

M4609

Spinal enthesopathy, site unspecified

M461

Sacroiliitis, not elsewhere classified

M4610

Sacroiliitis, not elsewhere classified, multiple sites

M4611

Sacroiliitis, not elsewhere classified, occipito-atlanto-axial region

M4612

Sacroiliitis, not elsewhere classified, cervical region

M4613

Sacroiliitis, not elsewhere classified, cervicothoracic region

M4614

Sacroiliitis, not elsewhere classified, thoracic region

M4615

Sacroiliitis, not elsewhere classified, thoracolumbar region

M4616

Sacroiliitis, not elsewhere classified, lumbar region

M4617

Sacroiliitis, not elsewhere classified, lumbosacral region

M4618

Sacroiliitis, not elsewhere classified, sacral and sacrococcygeal region

M4619

Sacroiliitis, not elsewhere classified, site unspecified

M462

Osteomyelitis of vertebra

M4620

Osteomyelitis of vertebra, multiple sites

M4621

Osteomyelitis of vertebra, occipito-atlanto-axial region

M4622

Osteomyelitis of vertebra, cervical region

M4623

Osteomyelitis of vertebra, cervicothoracic region

M4624

Osteomyelitis of vertebra, thoracic region

M4625

Osteomyelitis of vertebra, thoracolumbar region

M4626

Osteomyelitis of vertebra, lumbar region

M4627

Osteomyelitis of vertebra, lumbosacral region

M4628

Osteomyelitis of vertebra, sacral and sacrococcygeal region

M4629

Osteomyelitis of vertebra, site unspecified

M463

Infection of intervertebral disc (pyogenic)

M4630

Infection of intervertebral disc (pyogenic), multiple sites

M4631

Infection of intervertebral disc (pyogenic), occipito-atlanto-axial region

M4632

Infection of intervertebral disc (pyogenic), cervical region

M4633

Infection of intervertebral disc (pyogenic), cervicothoracic region

M4634

Infection of intervertebral disc (pyogenic), thoracic region

M4635

Infection of intervertebral disc (pyogenic), thoracolumbar region

M4636

Infection of intervertebral disc (pyogenic), lumbar region

M4637

Infection of intervertebral disc (pyogenic), lumbosacral region

M4638

Infection of intervertebral disc (pyogenic), sacral and sacrococcygeal region

M4639

Infection of intervertebral disc (pyogenic), site unspecified

M464

Discitis, unspecified

M4640

Discitis, unspecified, multiple sites

M4641

Discitis, unspecified, occipito-atlanto-axial region

M4642

Discitis, unspecified, cervical region

M4643

Discitis, unspecified, cervicothoracic region

M4644

Discitis, unspecified, thoracic region

M4645

Discitis, unspecified, thoracolumbar region

M4646

Discitis, unspecified, lumbar region

-97-

Kode

Deskripsi

M4647

Discitis, unspecified, lumbosacral region

M4648

Discitis, unspecified, sacral and sacrococcygeal region

M4649

Discitis, unspecified, site unspecified

M465

Other infective spondylopathies

M4650

Other infective spondylopathies, multiple sites

M4651

Other infective spondylopathies, occipito-atlanto-axial region

M4652

Other infective spondylopathies, cervical region

M4653

Other infective spondylopathies, cervicothoracic region

M4654

Other infective spondylopathies, thoracic region

M4655

Other infective spondylopathies, thoracolumbar region

M4656

Other infective spondylopathies, lumbar region

M4657

Other infective spondylopathies, lumbosacral region

M4658

Other infective spondylopathies, sacral and sacrococcygeal region

M4659

Other infective spondylopathies, site unspecified

M468

Other specified inflammatory spondylopathies

M4680

Other specified inflammatory spondylopathies, multiple sites

M4681

Other specified inflammatory spondylopathies, occipito-atlanto-axial region

M4682

Other specified inflammatory spondylopathies, cervical region

M4683

Other specified inflammatory spondylopathies, cervicothoracic region

M4684

Other specified inflammatory spondylopathies, thoracic region

M4685

Other specified inflammatory spondylopathies, thoracolumbar region

M4686

Other specified inflammatory spondylopathies, lumbar region

M4687

Other specified inflammatory spondylopathies, lumbosacral region

M4688

Other specified inflammatory spondylopathies, sacral and sacrococcygeal region

M4689

Other specified inflammatory spondylopathies, site unspecified

M469

Inflammatory spondylopathy, unspecified

M4690

Inflammatory spondylopathy, unspecified, multiple sites

M4691

Inflammatory spondylopathy, unspecified, occipito-atlanto-axial region

M4692

Inflammatory spondylopathy, unspecified, cervical region

M4693

Inflammatory spondylopathy, unspecified, cervicothoracic region

M4694

Inflammatory spondylopathy, unspecified, thoracic region

M4695

Inflammatory spondylopathy, unspecified, thoracolumbar region

M4696

Inflammatory spondylopathy, unspecified, lumbar region

M4697

Inflammatory spondylopathy, unspecified, lumbosacral region

M4698

Inflammatory spondylopathy, unspecified, sacral and sacrococcygeal region

M4699

Inflammatory spondylopathy, unspecified, site unspecified

M470

M4710

Ant spinal and vertebral artery compression syndromes, multiple sites Ant spinal and vertebral artery compression syndromes, occipito-atlanto-axial region Other spondylosis with myelopathy, multiple sites

M4711

Other spondylosis with myelopathy, occipito-atlanto-axial region

M4712

Other spondylosis with myelopathy, cervical region

M4713

Other spondylosis with myelopathy, cervicothoracic region

M471

-98-

Kode

Deskripsi

M4714

Other spondylosis with myelopathy, thoracic region

M4715

Other spondylosis with myelopathy, thoracolumbar region

M4716

Other spondylosis with myelopathy, lumbar region

M4717

Other spondylosis with myelopathy, lumbosacral region

M4718

Other spondylosis with myelopathy, sacral and sacrococcygeal region

M4719

Other spondylosis with myelopathy, site unspecified

M472

Other spondylosis with radiculopathy

M4720

Other spondylosis with radiculopathy, multiple sites

M4721

Other spondylosis with radiculopathy, occipito-atlanto-axial region

M4722

Other spondylosis with radiculopathy, cervical region

M4723

Other spondylosis with radiculopathy, cervicothoracic region

M4724

Other spondylosis with radiculopathy, thoracic region

M4725

Other spondylosis with radiculopathy, thoracolumbar region

M4726

Other spondylosis with radiculopathy, lumbar region

M4727

Other spondylosis with radiculopathy, lumbosacral region

M4728

Other spondylosis with radiculopathy, sacral and sacrococcygeal region

M4729

Other spondylosis with radiculopathy, site unspecified

M473

Ant spinal and vertebral artery compression syndromes, cervicothoracic region

M474

Ant spinal and vertebral artery compression syndromes, thoracic region

M475

Ant spinal and vertebral artery compression syndromes, thoracolumbar region

M476

Ant spinal and vertebral artery compression syndromes, lumbar region

M477

M4780

Ant spinal and vertebral artery compression syndromes, lumbosacral region Ant spinal and vertebral artery compression syndromes, sacral and sacrococcygeal region Other spondylosis, multiple sites

M4781

Other spondylosis, occipito-atlanto-axial region

M4782

Other spondylosis, cervical region

M4783

Other spondylosis, cervicothoracic region

M4784

Other spondylosis, thoracic region

M4785

Other spondylosis, thoracolumbar region

M4786

Other spondylosis, lumbar region

M4787

Other spondylosis, lumbosacral region

M4788

Other spondylosis, sacral and sacrococcygeal region

M4789

Other spondylosis, site unspecified

M479

Ant spinal and vertebral artery compression syndromes, site unspecified

M4790

Spondylosis, unspecified, multiple sites

M4791

Spondylosis, unspecified, occipito-atlanto-axial region

M4792

Spondylosis, unspecified, cervical region

M4793

Spondylosis, unspecified, cervicothoracic region

M4794

Spondylosis, unspecified, thoracic region

M4795

Spondylosis, unspecified, thoracolumbar region

M4796

Spondylosis, unspecified, lumbar region

M4797

Spondylosis, unspecified, lumbosacral region

M478

-99-

Kode

Deskripsi

M4798

Spondylosis, unspecified, sacral and sacrococcygeal region

M4799

Spondylosis, unspecified, site unspecified

M480

Spinal stenosis

M4800

Spinal stenosis, multiple sites

M4801

Spinal stenosis, occipito-atlanto-axial region

M4802

Spinal stenosis, cervical region

M4803

Spinal stenosis, cervicothoracic region

M4804

Spinal stenosis, thoracic region

M4805

Spinal stenosis, thoracolumbar region

M4806

Spinal stenosis, lumbar region

M4807

Spinal stenosis, lumbosacral region

M4808

Spinal stenosis, sacral and sacrococcygeal region

M4809

Spinal stenosis, site unspecified

M481

Ankylosing hyperostosis [forestier]

M4810

Ankylosing hyperostosis [forestier], multiple sites

M4811

Ankylosing hyperostosis [forestier], occipito-atlanto-axial region

M4812

Ankylosing hyperostosis [forestier], cervical region

M4813

Ankylosing hyperostosis [forestier], cervicothoracic region

M4814

Ankylosing hyperostosis [forestier], thoracic region

M4815

Ankylosing hyperostosis [forestier], thoracolumbar region

M4816

Ankylosing hyperostosis [forestier], lumbar region

M4817

Ankylosing hyperostosis [forestier], lumbosacral region

M4818

Ankylosing hyperostosis [forestier], sacral and sacrococcygeal region

M4819

Ankylosing hyperostosis [forestier], site unspecified

M482

Kissing spine

M4820

Kissing spine, multiple sites

M4821

Kissing spine, occipito-atlanto-axial region

M4822

Kissing spine, cervical region

M4823

Kissing spine, cervicothoracic region

M4824

Kissing spine, thoracic region

M4825

Kissing spine, thoracolumbar region

M4826

Kissing spine, lumbar region

M4827

Kissing spine, lumbosacral region

M4828

Kissing spine, sacral and sacrococcygeal region

M4829

Kissing spine, site unspecified

M483

Traumatic spondylopathy

M4830

Traumatic spondylopathy, multiple sites

M4831

Traumatic spondylopathy, occipito-atlanto-axial region

M4832

Traumatic spondylopathy, cervical region

M4833

Traumatic spondylopathy, cervicothoracic region

M4834

Traumatic spondylopathy, thoracic region

M4835

Traumatic spondylopathy, thoracolumbar region

-100-

Kode

Deskripsi

M4836

Traumatic spondylopathy, lumbar region

M4837

Traumatic spondylopathy, lumbosacral region

M4838

Traumatic spondylopathy, sacral and sacrococcygeal region

M4839

Traumatic spondylopathy, site unspecified

M484

Fatigue fracture of vertebra

M4840

Fatigue fracture of vertebra, multiple sites

M4841

Fatigue fracture of vertebra, occipito-atlanto-axial region

M4842

Fatigue fracture of vertebra, cervical region

M4843

Fatigue fracture of vertebra, cervicothoracic region

M4844

Fatigue fracture of vertebra, thoracic region

M4845

Fatigue fracture of vertebra, thoracolumbar region

M4846

Fatigue fracture of vertebra, lumbar region

M4847

Fatigue fracture of vertebra, lumbosacral region

M4848

Fatigue fracture of vertebra, sacral and sacrococcygeal region

M4849

Fatigue fracture of vertebra, site unspecified

M485

Collapsed vertebra, not elsewhere classified

M4850

Collapsed vertebra, not elsewhere classified, multiple sites

M4851

Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region

M4852

Collapsed vertebra, not elsewhere classified, cervical region

M4853

Collapsed vertebra, not elsewhere classified, cervicothoracic region

M4854

Collapsed vertebra, not elsewhere classified, thoracic region

M4855

Collapsed vertebra, not elsewhere classified, thoracolumbar region

M4856

Collapsed vertebra, not elsewhere classified, lumbar region

M4857

Collapsed vertebra, not elsewhere classified, lumbosacral region

M4858

Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region

M4859

Collapsed vertebra, not elsewhere classified, site unspecified

M488

Other specified spondylopathies

M4880

Other specified spondylopathies, multiple sites

M4881

Other specified spondylopathies, occipito-atlanto-axial region

M4882

Other specified spondylopathies, cervical region

M4883

Other specified spondylopathies, cervicothoracic region

M4884

Other specified spondylopathies, thoracic region

M4885

Other specified spondylopathies, thoracolumbar region

M4886

Other specified spondylopathies, lumbar region

M4887

Other specified spondylopathies, lumbosacral region

M4888

Other specified spondylopathies, sacral and sacrococcygeal region

M4889

Other specified spondylopathies, site unspecified

M489

Spondylopathy, unspecified

M4890

Spondylopathy, unspecified, multiple sites

M4891

Spondylopathy, unspecified, occipito-atlanto-axial region

M4892

Spondylopathy, unspecified, cervical region

M4893

Spondylopathy, unspecified, cervicothoracic region

-101-

Kode

Deskripsi

M4894

Spondylopathy, unspecified, thoracic region

M4895

Spondylopathy, unspecified, thoracolumbar region

M4896

Spondylopathy, unspecified, lumbar region

M4897

Spondylopathy, unspecified, lumbosacral region

M4898

Spondylopathy, unspecified, sacral and sacrococcygeal region

M4899

Spondylopathy, unspecified, site unspecified

M490

Tuberculosis of spine

M4900

Tuberculosis of spine, multiple sites

M4901

Tuberculosis of spine, occipito-atlanto-axial region

M4902

Tuberculosis of spine, cervical region

M4903

Tuberculosis of spine, cervicothoracic region

M4904

Tuberculosis of spine, thoracic region

M4905

Tuberculosis of spine, thoracolumbar region

M4906

Tuberculosis of spine, lumbar region

M4907

Tuberculosis of spine, lumbosacral region

M4908

Tuberculosis of spine, sacral and sacrococcygeal region

M4909

Tuberculosis of spine, site unspecified

M491

Brucella spondylitis

M4910

Brucella spondylitis, multiple sites

M4911

Brucella spondylitis, occipito-atlanto-axial region

M4912

Brucella spondylitis, cervical region

M4913

Brucella spondylitis, cervicothoracic region

M4914

Brucella spondylitis, thoracic region

M4915

Brucella spondylitis, thoracolumbar region

M4916

Brucella spondylitis, lumbar region

M4917

Brucella spondylitis, lumbosacral region

M4918

Brucella spondylitis, sacral and sacrococcygeal region

M4919

Brucella spondylitis, site unspecified

M492

Enterobacterial spondylitis

M4920

Enterobacterial spondylitis, multiple sites

M4921

Enterobacterial spondylitis, occipito-atlanto-axial region

M4922

Enterobacterial spondylitis, cervical region

M4923

Enterobacterial spondylitis, cervicothoracic region

M4924

Enterobacterial spondylitis, thoracic region

M4925

Enterobacterial spondylitis, thoracolumbar region

M4926

Enterobacterial spondylitis, lumbar region

M4927

Enterobacterial spondylitis, lumbosacral region

M4928

Enterobacterial spondylitis, sacral and sacrococcygeal region

M4929

Enterobacterial spondylitis, site unspecified

M493

Spondylopathy in other infectious and parasitic disease classified elsewhere

M4930

Spondylopathy in other infectious and parasitic disease, multiple sites Spondylopathy in other infectious and parasitic disease, occipito-atlanto-axial region

M4931

-102-

Kode

Deskripsi

M4932

Spondylopathy in other infectious and parasitic disease, cervical region

M4933

Spondylopathy in other infectious and parasitic disease, cervicothoracic region

M4934

Spondylopathy in other infectious and parasitic disease, thoracic region

M4935

Spondylopathy in other infectious and parasitic disease, thoracolumbar region

M4936

Spondylopathy in other infectious and parasitic disease, lumbar region

M4937

M4939

Spondylopathy in other infectious and parasitic disease, lumbosacral region Spondylopathy in other infectious and parasitic disease, sacral and sacrococcygeal region Spondylopathy in other infectious and parasitic disease, site unspecified

M494

Neuropathic spondylopathy

M4940

Neuropathic spondylopathy, multiple sites

M4941

Neuropathic spondylopathy, occipito-atlanto-axial region

M4942

Neuropathic spondylopathy, cervical region

M4943

Neuropathic spondylopathy, cervicothoracic region

M4944

Neuropathic spondylopathy, thoracic region

M4945

Neuropathic spondylopathy, thoracolumbar region

M4946

Neuropathic spondylopathy, lumbar region

M4947

Neuropathic spondylopathy, lumbosacral region

M4948

Neuropathic spondylopathy, sacral and sacrococcygeal region

M4949

Neuropathic spondylopathy, site unspecified

M495

Collapsed vertebra in diseases classified elsewhere

M4950

Collapsed vertebra in diseases classified elsewhere, multiple sites

M4951

Collapsed vertebra in diseases classified elsewhere, occipito-atlanto-axial region

M4952

Collapsed vertebra in diseases classified elsewhere, cervical region

M4953

Collapsed vertebra in diseases classified elsewhere, cervicothoracic region

M4954

Collapsed vertebra in diseases classified elsewhere, thoracic region

M4955

Collapsed vertebra in diseases classified elsewhere, thoracolumbar region

M4956

Collapsed vertebra in diseases classified elsewhere, lumbar region

M4957

Collapsed vertebra in diseases classified elsewhere, lumbosacral region

M4958

Collapsed vertebra in diseases classified elsewhere, sacral and sacrococcygeal region

M4959

Collapsed vertebra in diseases classified elsewhere, site unspecified

M498

Spondylopathy in other diseases classified elsewhere

M4980

Spondylopathy in other diseases classified elsewhere, multiple sites

M4981

Spondylopathy in other diseases classified elsewhere, occipito-atlanto-axial region

M4982

Spondylopathy in other diseases classified elsewhere, cervical region

M4983

Spondylopathy in other diseases classified elsewhere, cervicothoracic region

M4984

Spondylopathy in other diseases classified elsewhere, thoracic region

M4985

Spondylopathy in other diseases classified elsewhere, thoracolumbar region

M4986

Spondylopathy in other diseases classified elsewhere, lumbar region

M4987

M4989

Spondylopathy in other diseases classified elsewhere, lumbosacral region Spondylopathy in other diseases classified elsewhere, sacral and sacrococcygeal region Spondylopathy in other diseases classified elsewhere, site unspecified

M500

Cervical disc disorder with myelopathy

M4938

M4988

-103-

Kode

Deskripsi

M501

Cervical disc disorder with radiculopathy

M502

Other cervical disc displacement

M503

Other cervical disc degeneration

M508

Other cervical disc disorders

M509

Cervical disc disorder, unspecified

M510

Lumbar and other intervertebral disc disorder with mylopathy

M511

Lumbar and other intervertebral disc disorders with radiculopathy

M512

Other specified intervertebral disc displacement

M513

Other specified intervertebral disc degeneration

M514

Schmorl's nodes

M518

Other specified intervertebral disc disorders

M519

Intervertebral disc disorder, unspecified

M530

Cervicocranial syndrome

M5300

Cervicocranial syndrome, multiple sites

M5301

Cervicocranial syndrome, occipito-atlanto-axial region

M5302

Cervicocranial syndrome, cervical region

M5303

Cervicocranial syndrome, cervicothoracic region

M5304

Cervicocranial syndrome, thoracic region

M5305

Cervicocranial syndrome, thoracolumbar region

M5306

Cervicocranial syndrome, lumbar region

M5307

Cervicocranial syndrome, lumbosacral region

M5308

Cervicocranial syndrome, sacral and sacrococcygeal region

M5309

Cervicocranial syndrome, site unspecified

M531

Cervicobrachial syndrome

M5310

Cervicobrachial syndrome, multiple sites

M5311

Cervicobrachial syndrome, occipito-atlanto-axial region

M5312

Cervicobrachial syndrome, cervical region

M5313

Cervicobrachial syndrome, cervicothoracic region

M5314

Cervicobrachial syndrome, thoracic region

M5315

Cervicobrachial syndrome, thoracolumbar region

M5316

Cervicobrachial syndrome, lumbar region

M5317

Cervicobrachial syndrome, lumbosacral region

M5318

Cervicobrachial syndrome, sacral and sacrococcygeal region

M5319

Cervicobrachial syndrome, site unspecified

M532

Spinal instabilities

M5320

Spinal instabilities, multiple sites

M5321

Spinal instabilities, occipito-atlanto-axial region

M5322

Spinal instabilities, cervical region

M5323

Spinal instabilities, cervicothoracic region

M5324

Spinal instabilities, thoracic region

M5325

Spinal instabilities, thoracolumbar region

M5326

Spinal instabilities, lumbar region

-104-

Kode

Deskripsi

M5327

Spinal instabilities, lumbosacral region

M5328

Spinal instabilities, sacral and sacrococcygeal region

M5329

Spinal instabilities, site unspecified

M533

Sacrococcygeal disorders, not elsewhere classified

M5330

Sacrococcygeal disorders, not elsewhere classified, multiple sites

M5331

Sacrococcygeal disorders, not elsewhere classified, occipito-atlanto-axial region

M5332

Sacrococcygeal disorders, not elsewhere classified, cervical region

M5333

Sacrococcygeal disorders, not elsewhere classified, cervicothoracic region

M5334

Sacrococcygeal disorders, not elsewhere classified, thoracic region

M5335

Sacrococcygeal disorders, not elsewhere classified, thoracolumbar region

M5336

Sacrococcygeal disorders, not elsewhere classified, lumbosacral region

M5337

Sacrococcygeal disorders, not elsewhere classified, sacral and sacrococcygeal region

M5338

Sacrococcygeal disorders, not elsewhere classified, sacral and sacrococcygeal region

M5339

Sacrococcygeal disorders, not elsewhere classified, site unspecified

M538

Other specified dorsopathies

M5380

Other specified dorsopathies, multiple sites

M5381

Other specified dorsopathies, occipito-atlanto-axial region

M5382

Other specified dorsopathies, cervical region

M5383

Other specified dorsopathies, cervicothoracic region

M5384

Other specified dorsopathies, thoracic region

M5385

Other specified dorsopathies, thoracolumbar region

M5386

Other specified dorsopathies, lumbar region

M5387

Other specified dorsopathies, lumbosacral region

M5388

Other specified dorsopathies, sacral and sacrococcygeal region

M5389

Other specified dorsopathies, site unspecified

M539

Dorsopathy, unspecified

M5390

Dorsopathy, unspecified, multiple sites

M5391

Dorsopathy, unspecified, occipito-atlanto-axial region

M5392

Dorsopathy, unspecified, cervical region

M5393

Dorsopathy, unspecified, cervicothoracic region

M5394

Dorsopathy, unspecified, thoracic region

M5395

Dorsopathy, unspecified, thoracolumbar region

M5396

Dorsopathy, unspecified, lumbar region

M5397

Dorsopathy, unspecified, lumbosacral region

M5398

Dorsopathy, unspecified, sacral and sacrococcygeal region

M5399

Dorsopathy, unspecified, site unspecified

M540

Panniculitis affecting regions of neck and back

M5400

Panniculitis affecting regions of neck and back, multiple sites

M5401

Panniculitis affecting regions of neck and back, occipito-atlanto-axial region

M5402

Panniculitis affecting regions of neck and back, cervical region

M5403

Panniculitis affecting regions of neck and back, cervicothoracic region

M5404

Panniculitis affecting regions of neck and back, thoracic region

-105-

Kode

Deskripsi

M5405

Panniculitis affecting regions of neck and back, thoracolumbar region

M5406

Panniculitis affecting regions of neck and back, lumbar region

M5407

Panniculitis affecting regions of neck and back, lumbosacral region

M5408

Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region

M5409

Panniculitis affecting regions of neck and back, site unspecified

M541

Radiculopathy

M5410

Radiculopathy, multiple sites

M5411

Radiculopathy, occipito-atlanto-axial region

M5412

Radiculopathy, cervical region

M5413

Radiculopathy, cervicothoracic region

M5414

Radiculopathy, thoracic region

M5415

Radiculopathy, thoracolumbar region

M5416

Radiculopathy, lumbar region

M5417

Radiculopathy, lumbosacral region

M5418

Radiculopathy, sacral and sacrococcygeal region

M5419

Radiculopathy, site unspecified

M542

Cervicalgia

M5420

Cervicalgia, multiple sites

M5421

Cervicalgia, occipito-atlanto-axial region

M5422

Cervicalgia, cervical region

M5423

Cervicalgia, cervicothoracic region

M5424

Cervicalgia, thoracic region

M5425

Cervicalgia, thoracolumbar region

M5426

Cervicalgia, lumbar region

M5427

Cervicalgia, lumbosacral region

M5428

Cervicalgia, sacral and sacrococcygeal region

M5429

Cervicalgia, site unspecified

M543

Sciatica

M5430

Sciatica, multiple sites

M5431

Sciatica, occipito-atlanto-axial region

M5432

Sciatica, cervical region

M5433

Sciatica, cervicothoracic region

M5434

Sciatica, thoracic region

M5435

Sciatica, thoracolumbar region

M5436

Sciatica, lumbar region

M5437

Sciatica, lumbosacral region

M5438

Sciatica, sacral and sacrococcygeal region

M5439

Sciatica, site unspecified

M544

Lumbago with sciatica

M5440

Lumbago with sciatica, multiple sites

M5441

Lumbago with sciatica, occipito-atlanto-axial region

M5442

Lumbago with sciatica, cervical region

-106-

Kode

Deskripsi

M5443

Lumbago with sciatica, cervicothoracic region

M5444

Lumbago with sciatica, thoracic region

M5445

Lumbago with sciatica, thoracolumbar region

M5446

Lumbago with sciatica, lumbar region

M5447

Lumbago with sciatica, lumbosacral region

M5448

Lumbago with sciatica, sacral and sacrococcygeal region

M5449

Lumbago with sciatica, site unspecified

M545

Low back pain

M5450

Low back pain, multiple sites

M5451

Low back pain, occipito-atlanto-axial region

M5452

Low back pain, cervical region

M5453

Low back pain, cervicothoracic region

M5454

Low back pain, thoracic region

M5455

Low back pain, thoracolumbar region

M5456

Low back pain, lumbar region

M5457

Low back pain, lumbosacral region

M5458

Low back pain, sacral and sacrococcygeal region

M5459

Low back pain, site unspecified

M546

Pain in thoracic spine

M5460

Pain in thoracic spine, multiple sites

M5461

Pain in thoracic spine, occipito-atlanto-axial region

M5462

Pain in thoracic spine, cervical region

M5463

Pain in thoracic spine, cervicothoracic region

M5464

Pain in thoracic spine, thoracic region

M5465

Pain in thoracic spine, thoracolumbar region

M5466

Pain in thoracic spine, lumbar region

M5467

Pain in thoracic spine, lumbosacral region

M5468

Pain in thoracic spine, sacral and sacrococcygeal region

M5469

Pain in thoracic spine, site unspecified

M548

Other dorsalgia

M5480

Other dorsalgia, multiple sites

M5481

Other dorsalgia, occipito-atlanto-axial region

M5482

Other dorsalgia, cervical region

M5483

Other dorsalgia, cervicothoracic region

M5484

Other dorsalgia, thoracic region

M5485

Other dorsalgia, thoracolumbar region

M5486

Other dorsalgia, lumbar region

M5487

Other dorsalgia, lumbosacral region

M5488

Other dorsalgia, sacral and sacrococcygeal region

M5489

Other dorsalgia, site unspecified

M549

Dorsalgia, unspecified

M5490

Dorsalgia, unspecified, multiple sites

-107-

Kode

Deskripsi

M5491

Dorsalgia, unspecified, occipito-atlanto-axial region

M5492

Dorsalgia, unspecified, cervical region

M5493

Dorsalgia, unspecified, cervicothoracic region

M5494

Dorsalgia, unspecified, thoracic region

M5495

Dorsalgia, unspecified, thoracolumbar region

M5496

Dorsalgia, unspecified, lumbar region

M5497

Dorsalgia, unspecified, lumbosacral region

M5498

Dorsalgia, unspecified, sacral and sacrococcygeal region

M5499

Dorsalgia, unspecified, site unspecified

M600

Infective myositis

M6000

Infective myositis, mulitple sites

M6001

Infective myositis, shoulder

M6002

Infective myositis, upper arm

M6003

Infective myositis, forearm

M6004

Infective myositis, hand

M6005

Infective myositis, pelvic region and thigh

M6006

Infective myositis, lower leg

M6007

Infective myositis, ankle and foot

M6008

Infective myositis, other

M6009

Infective myositis, site unspecified

M601

Interstitial myositis

M6010

Interstitial myositis, mulitple sites

M6011

Interstitial myositis, shoulder

M6012

Interstitial myositis, upper arm

M6013

Interstitial myositis, forearm

M6014

Interstitial myositis, hand

M6015

Interstitial myositis, pelvic region and thigh

M6016

Interstitial myositis, lower leg

M6017

Interstitial myositis, ankle and foot

M6018

Interstitial myositis, other

M6019

Interstitial myositis, site unspecified

M602

Foreign body granuloma of soft tissue, not elsewhere classified

M6020

Foreign body graniloma of soft tissue, mulitple sites

M6021

Foreign body graniloma of soft tissue, shoulder

M6022

Foreign body graniloma of soft tissue, upper arm

M6023

Foreign body graniloma of soft tissue, forearm

M6024

Foreign body graniloma of soft tissue, hand

M6025

Foreign body granuloma of soft tissue, pelvic region and thigh

M6026

Foreign body graniloma of soft tissue, lower leg

M6027

Foreign body graniloma of soft tissue, ankle and foot

M6028

Foreign body granuloma of soft tissue, other

M6029

Foreign body granuloma of soft tissue, site unspecified

-108-

Kode

Deskripsi

M608

Other myositis

M6080

Other myositis, mulitple sites

M6081

Other myositis, shoulder

M6082

Other myositis, upper arm

M6083

Other myositis, forearm

M6084

Other myositis, hand

M6085

Other myositis, pelvic region and thigh

M6086

Other myositis, lower leg

M6087

Other myositis, ankle and foot

M6088

Other myositis, other

M6089

Other myositis, site unspecified

M609

Myositis, unspecified

M6090

Myositis unspecified, mulitple sites

M6091

Myositis unspecified, shoulder

M6092

Myositis unspecified, upper arm

M6093

Myositis unspecified, forearm

M6094

Myositis unspecified, hand

M6095

Myositis unspecified, pelvic region and thigh

M6096

Myositis unspecified, lower leg

M6097

Myositis unspecified, ankle and foot

M6098

Myositis unspecified, other

M6099

Myositis unspecified, site unspecified

M610

Myositis ossificans traumatica

M6100

Myositis ossificans traumatica, mulitple sites

M6101

Myositis ossificans traumatica, shoulder

M6102

Myositis ossificans traumatica, upper arm

M6103

Myositis ossificans traumatica, forearm

M6104

Myositis ossificans traumatica, hand

M6105

Myositis ossificans traumatica, pelvic region and thigh

M6106

Myositis ossificans traumatica, lower leg

M6107

Myositis ossificans traumatica, ankle and foot

M6108

Myositis ossificans traumatica, other

M6109

Myositis ossificans traumatica, site unspecified

M611

Myositis ossificans progressiva

M6110

Myositis ossificans progressiva, mulitple sites

M6111

Myositis ossificans progressiva, shoulder

M6112

Myositis ossificans progressiva, upper arm

M6113

Myositis ossificans progressiva, forearm

M6114

Myositis ossificans progressiva, hand

M6115

Myositis ossificans progressiva, pelvic region and thigh

M6116

Myositis ossificans progressiva, lower leg

M6117

Myositis ossificans progressiva, ankle and foot

-109-

Kode

Deskripsi

M6118

Myositis ossificans progressiva, other

M6119

Myositis ossificans progressiva, site unspecified

M612

Paralytic calcification and ossification of muscle

M6120

Paralytic calcification and ossifcation of muscle, mulitple sites

M6121

Paralytic calcification and ossifcation of muscle, shoulder

M6122

Paralytic calcification and ossifcation of muscle, upper arm

M6123

Paralytic calcification and ossifcation of muscle, forearm

M6124

Paralytic calcification and ossifcation of muscle, hand

M6125

Paralytic calcification and ossifcation of muscle, pelvic region and thigh

M6126

Paralytic calcification and ossifcation of muscle, lower leg

M6127

Paralytic calcification and ossifcation of muscle, ankle and foot

M6128

Paralytic calcification and ossifcation of muscle, other

M6129

Paralytic calcification and ossifcation of muscle, site unspecified

M613

Calcification and ossification of muscles assoc with burns

M6130

Calcification and ossification of muscles assco with burns, multiple sites

M6131

Calcification and ossification of muscles assco with burns, shoulder

M6132

Calcification and ossification of muscles assco with burns, upper arm

M6133

Calcification and ossification of muscles assco with burns, forearm

M6134

Calcification and ossification of muscles assco with burns, hand

M6135

Calcification and ossification of muscles assco with burns, pelvic region and thigh

M6136

Calcification and ossification of muscles assco with burns, lower leg

M6137

Calcification and ossification of muscles assco with burns, ankle and foot

M6138

Calcification and ossification of muscles assco with burns, other

M6139

Calcification and ossification of muscles assco with burns, site unspecified

M614

Other calcification of muscle

M6140

Other calcification of muscle, multiple sites

M6141

Other calcification of muscle, shoulder

M6142

Other calcification of muscle, upper arm

M6143

Other calcification of muscle, forearm

M6144

Other calcification of muscle, hand

M6145

Other calcification of muscle, pelvic region and thigh

M6146

Other calcification of muscle, lower leg

M6147

Other calcification of muscle, ankle and foot

M6148

Other calcification of muscle, other

M6149

Other calcification of muscle, site unspecified

M615

Other ossification of muscle

M6150

Other ossification of muscle, multiple sites

M6151

Other ossification of muscle, shoulder

M6152

Other ossification of muscle, upper arm

M6153

Other ossification of muscle, forearm

M6154

Other ossification of muscle, hand

M6155

Other ossification of muscle, pelvic region and thigh

-110-

Kode

Deskripsi

M6156

Other ossification of muscle, lower leg

M6157

Other ossification of muscle, ankle and foot

M6158

Other ossification of muscle, other

M6159

Other ossification of muscle, site unspecified

M619

Calcification and ossification of muscle, unspecified

M6190

Calcification and ossification of muscle unspecified, multiple sites

M6191

Calcification and ossification of muscle unspecified, shoulder

M6192

Calcification and ossification of muscle unspecified, upper arm

M6193

Calcification and ossification of muscle unspecified, forearm

M6194

Calcification and ossification of muscle unspecified, hand

M6195

Calcification and ossification of muscle unspecified, pelvic region and thigh

M6196

Calcification and ossification of muscle unspecified, lower leg

M6197

Calcification and ossification of muscle unspecified, ankle and foot

M6198

Calcification and ossification of muscle unspecified, other

M6199

Calcification and ossification of muscle unspecified, site unspecified

M620

Diastasis of muscle

M6200

Diastasis of muscle, mulitple sites

M6201

Diastasis of muscle, shoulder

M6202

Diastasis of muscle, upper arm

M6203

Diastasis of muscle, forearm

M6204

Diastasis of muscle, hand

M6205

Diastasis of muscle, pelvic region and thigh

M6206

Diastasis of muscle, lower leg

M6207

Diastasis of muscle, ankle and foot

M6208

Diastasis of muscle, other

M6209

Diastasis of muscle, site unspecified

M621

Other rupture of muscle (nontraumatic)

M6210

Other rupture of muscle (nontraumatic), multiple sites

M6211

Other rupture of muscle (nontraumatic), shoulder

M6212

Other rupture of muscle (nontraumatic), upper arm

M6213

Other rupture of muscle (nontraumatic), forearm

M6214

Other rupture of muscle (nontraumatic), hand

M6215

Other rupture of muscle (nontraumatic), pelvic region and thigh

M6216

Other rupture of muscle (nontraumatic), lower leg

M6217

Other rupture of muscle (nontraumatic), ankle and foot

M6218

Other rupture of muscle (nontraumatic), other

M6219

Other rupture of muscle (nontraumatic), site unspecified

M622

Ischaemic infarction of muscle

M6220

Ischaemic infarction of muscle, multiple sites

M6221

Ischaemic infarction of muscle, shoulder

M6222

Ischaemic infarction of muscle, upper arm

M6223

Ischaemic infarction of muscle, forearm

-111-

Kode

Deskripsi

M6224

Ischaemic infarction of muscle, hand

M6225

Ischaemic infarction of muscle, pelvic region and thigh

M6226

Ischaemic infarction of muscle, lower leg

M6227

Ischaemic infarction of muscle, ankle and foot

M6228

Ischaemic infarction of muscle, other

M6229

Ischaemic infarction of muscle, site unspecified

M623

Immobility syndrome (paraplegic)

M6230

Immobility syndrome (paraplegic), multiple sites

M6231

Immobility syndrome (paraplegic), shoulder

M6232

Immobility syndrome (paraplegic), upper arm

M6233

Immobility syndrome (paraplegic), forearm

M6234

Immobility syndrome (paraplegic), hand

M6235

Immobility syndrome (paraplegic), pelvic region and thigh

M6236

Immobility syndrome (paraplegic), lower leg

M6237

Immobility syndrome (paraplegic), ankle and foot

M6238

Immobility syndrome (paraplegic), other

M6239

Immobility syndrome (paraplegic), site unspecified

M624

Contracture of muscle

M6240

Contracture of muscle, multiple sites

M6241

Contracture of muscle, shoulder

M6242

Contracture of muscle, upper arm

M6243

Contracture of muscle, forearm

M6244

Contracture of muscle, hand

M6245

Contracture of muscle, pelvic region and thigh

M6246

Contracture of muscle, lower leg

M6247

Contracture of muscle, ankle and foot

M6248

Contracture of muscle, other

M6249

Contracture of muscle, site unspecified

M625

Muscle wasting and atrophy, not elsewhere classified

M6250

Muscle wasting and atrophy, multiple sites

M6251

Muscle wasting and atrophy, shoulder

M6252

Muscle wasting and atrophy, upper arm

M6253

Muscle wasting and atrophy, forearm

M6254

Muscle wasting and atrophy, hand

M6255

Muscle wasting and atrophy, pelvic region and thigh

M6256

Muscle wasting and atrophy, lower leg

M6257

Muscle wasting and atrophy, ankle and foot

M6258

Muscle wasting and atrophy, other

M6259

Muscle wasting and atrophy, site unspecified

M626

Muscle strain

M6260

Muscle strain, multiple sites

M6261

Muscle strain, shoulder

-112-

Kode

Deskripsi

M6262

Muscle strain, upper arm

M6263

Muscle strain, forearm

M6264

Muscle strain, hand

M6265

Muscle strain, pelvic region and thigh

M6266

Muscle strain, lower leg

M6267

Muscle strain, ankle and foot

M6268

Muscle strain, other

M6269

Muscle strain, site unspecified

M628

Other specified disorders of muscle

M6280

Other specified disorders of muscle, multiple sites

M6281

Other specified disorders of muscle, shoulder

M6282

Other specified disorders of muscle, upper arm

M6283

Other specified disorders of muscle, forearm

M6284

Other specified disorders of muscle, hand

M6285

Other specified disorders of muscle, pelvic region and thigh

M6286

Other specified disorders of muscle, lower leg

M6287

Other specified disorders of muscle, ankle and foot

M6288

Other specified disorders of muscle, other

M6289

Other specified disorders of muscle, site unspecified

M629

Disorder of muscle, unspecified

M6290

Disorder of muscle, unspecified, multiple sites

M6291

Disorder of muscle, unspecified, shoulder

M6292

Disorder of muscle, unspecified, upper arm

M6293

Disorder of muscle, unspecified, forearm

M6294

Disorder of muscle, unspecified, hand

M6295

Disorder of muscle, unspecified, pelvic region and thigh

M6296

Disorder of muscle, unspecified, lower leg

M6297

Disorder of muscle, unspecified, ankle and foot

M6298

Disorder of muscle, unspecified, other

M6299

Disorder of muscle, unspecified, site unspecified

M630

Myositis in bacterial diseases classified elsewhere

M631

Myositis in protozoal and parasitic infections classified elsewhere

M632

Myositis in other infectious diseases classified elsewhere

M633

Myositis in sarcoidosis

M638

Other disorders of muscle in diseases classified elsewhere

M650

Abscess of tendon sheath

M6500

Abscess of tendon sheath, multiple sites

M6501

Abscess of tendon sheath, shoulder region

M6502

Abscess of tendon sheath, upper arm

M6503

Abscess of tendon sheath, forearm

M6504

Abscess of tendon sheath, hand

M6505

Abscess of tendon sheath, pelvic and thigh

-113-

Kode

Deskripsi

M6506

Abscess of tendon sheath, lower leg

M6507

Abscess of tendon sheath, ankle and foot

M6508

Abscess of tendon sheath, other

M6509

Abscess of tendon sheath, site unspecified

M651

Other infective (teno)synovitis

M6510

Other infective (teno)synovitis, multiple sites

M6511

Other infective (teno)synovitis, shoulder region

M6512

Other infective (teno)synovitis, upper arm

M6513

Other infective (teno)synovitis, forearm

M6514

Other infective (teno)synovitis, hand

M6515

Other infective (teno)synovitis, pelvic and thigh

M6516

Other infective (teno)synovitis, lower leg

M6517

Other infective (teno)synovitis, ankle and foot

M6518

Other infective (teno)synovitis, other

M6519

Other infective (teno)synovitis, site unspecified

M652

Calcific tendinitis

M6520

Calcific tendinitis, multiple sites

M6521

Calcific tendinitis, shoulder region

M6522

Calcific tendinitis, upper arm

M6523

Calcific tendinitis, forearm

M6524

Calcific tendinitis, hand

M6525

Calcific tendinitis, pelvic region and thigh

M6526

Calcific tendinitis, lower leg

M6527

Calcific tendinitis, ankle and foot

M6528

Calcific tendinitis, other

M6529

Calcific tendinitis, site unspecified

M653

Trigger finger

M6530

Trigger finger, multiple sites

M6531

Trigger finger, shoulder region

M6532

Trigger finger, upper arm

M6533

Trigger finger, forearm

M6534

Trigger finger, hand

M6535

Trigger finger, pelvic region and thigh

M6536

Trigger finger, lower leg

M6537

Trigger finger, ankle and foot

M6538

Trigger finger, other

M6539

Trigger finger, site unspecified

M654

Radial styloid tenosynovitis [de quervain]

M6540

Radial styloid tenosynovitis [de quervain], multiple sites

M6541

Radial styloid tenosynovitis [de quervain], shoulder region

M6542

Radial styloid tenosynovitis [de quervain], upper arm

M6543

Radial styloid tenosynovitis [de quervain], forearm

-114-

Kode

Deskripsi

M6544

Radial styloid tenosynovitis [de quervain], hand

M6545

Radial styloid tenosynovitis [de quervain], pelvic region and thigh

M6546

Radial styloid tenosynovitis [de quervain], lower leg

M6547

Radial styloid tenosynovitis [de quervain], ankle and foot

M6548

Radial styloid tenosynovitis [de quervain], other

M6549

Radial styloid tenosynovitis [de quervain], site unspecified

M658

Other synovitis and tenosynovitis

M6580

Other synovitis and tenosynovitis, multiple sites

M6581

Other synovitis and tenosynovitis, shoulder region

M6582

Other synovitis and tenosynovitis, upper arm

M6583

Other synovitis and tenosynovitis, forearm

M6584

Other synovitis and tenosynovitis, hand

M6585

Other synovitis and tenosynovitis, pelvic region and thigh

M6586

Other synovitis and tenosynovitis, lower leg

M6587

Other synovitis and tenosynovitis, ankle and foot

M6588

Other synovitis and tenosynovitis, other

M6589

Other synovitis and tenosynovitis, site unspecified

M659

Synovitis and tenosynovitis, unspecified

M6590

Synovitis and tenosynovitis, unspecified, multiple sites

M6591

Synovitis and tenosynovitis, unspecified, shoulder region

M6592

Synovitis and tenosynovitis, unspecified, upper arm

M6593

Synovitis and tenosynovitis, unspecified, forearm

M6594

Synovitis and tenosynovitis, unspecified, hand

M6595

Synovitis and tenosynovitis, unspecified, pelvic region and thigh

M6596

Synovitis and tenosynovitis, unspecified, lower leg

M6597

Synovitis and tenosynovitis, unspecified, ankle and foot

M6598

Synovitis and tenosynovitis, unspecified, other

M6599

Synovitis and tenosynovitis, unspecified, site unspecified

M660

Rupture of popliteal cyst

M6600

Rupture of popliteal cyst, multiple sites

M6601

Rupture of popliteal cyst, shoulder region

M6602

Rupture of popliteal cyst, upper arm

M6603

Rupture of popliteal cyst, forearm

M6604

Rupture of popliteal cyst, hand

M6605

Rupture of popliteal cyst, pelvic region and thigh

M6606

Rupture of popliteal cyst, lower leg

M6607

Rupture of popliteal cyst, ankle and foot

M6608

Rupture of popliteal cyst, other

M6609

Rupture of popliteal cyst, site unspecified

M661

Rupture of synovium

M6610

Rupture of synovium, multiple sites

M6611

Rupture of synovium, shoulder region

-115-

Kode

Deskripsi

M6612

Rupture of synovium, upper arm

M6613

Rupture of synovium, forearm

M6614

Rupture of synovium, hand

M6615

Rupture of synovium, pelvic region and thigh

M6616

Rupture of synovium, lower leg

M6617

Rupture of synovium, ankle and foot

M6618

Rupture of synovium, other

M6619

Rupture of synovium, site unspecified

M662

Spontaneous rupture of extensor tendons

M6620

Spontaneous rupture of extensor tendons, multiple sites

M6621

Spontaneous rupture of extensor tendons, shoulder region

M6622

Spontaneous rupture of extensor tendons, upper arm

M6623

Spontaneous rupture of extensor tendons, forearm

M6624

Spontaneous rupture of extensor tendons, hand

M6625

Spontaneous rupture of extensor tendons, pelvic region and thigh

M6626

Spontaneous rupture of extensor tendons, lower leg

M6627

Spontaneous rupture of extensor tendons, ankle and foot

M6628

Spontaneous rupture of extensor tendons, other

M6629

Spontaneous rupture of extensor tendons, site unspecified

M663

Spontaneous rupture of flexor tendons

M6630

Spontaneous rupture of flexor tendons, multiple sites

M6631

Spontaneous rupture of flexor tendons, shoulder region

M6632

Spontaneous rupture of flexor tendons, upper arm

M6633

Spontaneous rupture of flexor tendons, forearm

M6634

Spontaneous rupture of flexor tendons, hand

M6635

Spontaneous rupture of flexor tendons, pelvic region and thigh

M6636

Spontaneous rupture of flexor tendons, lower leg

M6637

Spontaneous rupture of flexor tendons, ankle and foot

M6638

Spontaneous rupture of flexor tendons, other

M6639

Spontaneous rupture of flexor tendons, site unspecified

M664

Spontaneous rupture of other tendons

M6640

Spontaneous rupture of other tendons, multiple sites

M6641

Spontaneous rupture of other tendons, shoulder region

M6642

Spontaneous rupture of other tendons, upper arm

M6643

Spontaneous rupture of other tendons, forearm

M6644

Spontaneous rupture of other tendons, hand

M6645

Spontaneous rupture of other tendons, pelvic region and thigh

M6646

Spontaneous rupture of other tendons, lower leg

M6647

Spontaneous rupture of other tendons, ankle and foot

M6648

Spontaneous rupture of other tendons, other

M6649

Spontaneous rupture of other tendons, site unspecified

M665

Spontaneous rupture of unspecified tendon

-116-

Kode

Deskripsi

M6650

Spontaneous rupture of unspecified tendon, multiple sites

M6651

Spontaneous rupture of unspecified tendon, shoulder region

M6652

Spontaneous rupture of unspecified tendon, upper arm

M6653

Spontaneous rupture of unspecified tendon, forearm

M6654

Spontaneous rupture of unspecified tendon, hand

M6655

Spontaneous rupture of unspecified tendon, pelvic region and thigh

M6656

Spontaneous rupture of unspecified tendon, lower leg

M6657

Spontaneous rupture of unspecified tendon, ankle and foot

M6658

Spontaneous rupture of unspecified tendon, other

M6659

Spontaneous rupture of unspecified tendon, site unspecified

M670

Short achilles tendon (acquired)

M671

Other contracture of tendon (sheath)

M672

Synovial hypertrophy, not elsewhere classified

M673

Transient synovitis

M674

Ganglion

M678

Other specified disorders of synovium and tendon

M679

Disorder of synovium and tendon, unspecified

M680

Synovitis and tenosynovitis in bacterial diseases classified elsewhere

M688

Other disorders of synovium and tendon in diseases classified elsewhere

M700

Chronic crepitant synovitis of hand and wrist

M7000

Chronic crepitant synovitis of hand and wrist, multiple sites

M7001

Chronic crepitant synovitis of hand and wrist, shoulder region

M7002

Chronic crepitant synovitis of hand and wrist, upper arm

M7003

Chronic crepitant synovitis of hand and wrist, forearm

M7004

Chronic crepitant synovitis of hand and wrist, hand

M7005

Chronic crepitant synovitis of hand and wrist, pelvic region and thigh

M7006

Chronic crepitant synovitis of hand and wrist, lower leg

M7007

Chronic crepitant synovitis of hand and wrist, ankle and foot

M7008

Chronic crepitant synovitis of hand and wrist, other

M7009

Chronic crepitant synovitis of hand and wrist, site unspecified

M701

Bursitis of hand

M7010

Bursitis of hand, multiple sites

M7011

Bursitis of hand, shoulder region

M7012

Bursitis of hand, upper arm

M7013

Bursitis of hand, forearm

M7014

Bursitis of hand, hand

M7015

Bursitis of hand, pelvic region and thigh

M7016

Bursitis of hand, lower leg

M7017

Bursitis of hand, ankle and foot

M7018

Bursitis of hand, other

M7019

Bursitis of hand, site unspecified

M702

Olecranon bursitis

-117-

Kode

Deskripsi

M7020

Olecranon bursitis, multiple sites

M7021

Olecranon bursitis, shoulder region

M7022

Olecranon bursitis, upper arm

M7023

Olecranon bursitis, forearm

M7024

Olecranon bursitis, hand

M7025

Olecranon bursitis, pelvic region and thigh

M7026

Olecranon bursitis, lower leg

M7027

Olecranon bursitis, ankle and foot

M7028

Olecranon bursitis, other

M7029

Olecranon bursitis, site unspecified

M703

Other bursitis of elbow

M7030

Other bursitis of elbow, multiple sites

M7031

Other bursitis of elbow, shoulder region

M7032

Other bursitis of elbow, upper arm

M7033

Other bursitis of elbow, forearm

M7034

Other bursitis of elbow, hand

M7035

Other bursitis of elbow, pelvic region and thigh

M7036

Other bursitis of elbow, lower leg

M7037

Other bursitis of elbow, ankle and foot

M7038

Other bursitis of elbow, other

M7039

Other bursitis of elbow, site unspecified

M704

Prepatellar bursitis

M7040

Prepatellar bursitis, multiple sites

M7041

Prepatellar bursitis, shoulder region

M7042

Prepatellar bursitis, upper arm

M7043

Prepatellar bursitis, forearm

M7044

Prepatellar bursitis, hand

M7045

Prepatellar bursitis, pelvic region and thigh

M7046

Prepatellar bursitis, lower leg

M7047

Prepatellar bursitis, ankle and foot

M7048

Prepatellar bursitis, other

M7049

Prepatellar bursitis, site unspecified

M705

Other bursitis of knee

M7050

Other bursitis of knee, multiple sites

M7051

Other bursitis of knee, shoulder region

M7052

Other bursitis of knee, upper arm

M7053

Other bursitis of knee, forearm

M7054

Other bursitis of knee, hand

M7055

Other bursitis of knee, pelvic region and thigh

M7056

Other bursitis of knee, lower leg

M7057

Other bursitis of knee, ankle and foot

M7058

Other bursitis of knee, other

-118-

Kode

Deskripsi

M7059

Other bursitis of knee, site unspecified

M706

Trochanteric bursitis

M7060

Trochanteric bursitis, multiple sites

M7061

Trochanteric bursitis, shoulder region

M7062

Trochanteric bursitis, upper arm

M7063

Trochanteric bursitis, forearm

M7064

Trochanteric bursitis, hand

M7065

Trochanteric bursitis, pelvic region and thigh

M7066

Trochanteric bursitis, lower leg

M7067

Trochanteric bursitis, ankle and foot

M7068

Trochanteric bursitis, other

M7069

Trochanteric bursitis, site unspecified

M707

Other bursitis of hip

M7070

Other bursitis of hip, multiple sites

M7071

Other bursitis of hip, shoulder region

M7072

Other bursitis of hip, upper arm

M7073

Other bursitis of hip, forearm

M7074

Other bursitis of hip, hand

M7075

Other bursitis of hip, pelvic region and thigh

M7076

Other bursitis of hip, lower leg

M7077

Other bursitis of hip, ankle and foot

M7078

Other bursitis of hip, other

M7079

Other bursitis of hip, site unspecified

M708

Other soft tissue disorder related to use overuse and pressure

M7080

Other soft tissue disorder related to use overuse and pressure, multiple sites

M7081

Other soft tissue disorder related to use overuse and pressure, shoulder region

M7082

Other soft tissue disorder related to use overuse and pressure, upper arm

M7083

Other soft tissue disorder related to use overuse and pressure, forearm

M7084

M7086

Other soft tissue disorder related to use overuse and pressure, hand Other soft tissue disorder related to use overuse and pressure, pelvic region and thigh Other soft tissue disorder related to use overuse and pressure, lower leg

M7087

Other soft tissue disorder related to use overuse and pressure, ankle and foot

M7088

Other soft tissue disorder related to use overuse and pressure, other

M7089

Other soft tissue disorder related to use overuse and pressure, site unspecified

M709

Unspecified soft tissue disorder related to use overuse and pressure

M7090

M7092

Unspecified soft tissue disorder related to use overuse and pressure, multiple sites Unspecified soft tissue disorder related to use overuse and pressure, shoulder region Unspecified soft tissue disorder related to use overuse and pressure, upper arm

M7093

Unspecified soft tissue disorder related to use overuse and pressure, forearm

M7094

Unspecified soft tissue disorder related to use overuse and pressure, hand Unspecified soft tissue disorder related to use overuse and pressure, pelvic region and thigh

M7085

M7091

M7095

-119-

Kode

Deskripsi

M7096

Unspecified soft tissue disorder related to use overuse and pressure, lower leg

M7097

Unspecified soft tissue disorder related to use overuse and pressure, ankle and foot

M7098

Unspecified soft tissue disorder related to use overuse and pressure, other

M7099

Unspecified soft tissue disorder related to use overuse and pressure, site unspecified

M710

Abscess of bursa

M7100

Abscess of bursa, multiple sites

M7101

Abscess of bursa, shoulder region

M7102

Abscess of bursa, upper arm

M7103

Abscess of bursa, forearm

M7104

Abscess of bursa, hand

M7105

Abscess of bursa, pelvic region and thigh

M7106

Abscess of bursa, lower leg

M7107

Abscess of bursa, ankle and foot

M7108

Abscess of bursa, other

M7109

Abscess of bursa, site unspecified

M711

Other infective bursitis

M7110

Other infective bursitis, multiple sites

M7111

Other infective bursitis, shoulder region

M7112

Other infective bursitis, upper arm

M7113

Other infective bursitis, forearm

M7114

Other infective bursitis, hand

M7115

Other infective bursitis, pelvic region and thigh

M7116

Other infective bursitis, lower leg

M7117

Other infective bursitis, ankle and foot

M7118

Other infective bursitis, other

M7119

Other infective bursitis, site unspecified

M712

Synovial cyst of popliteal space [baker]

M7120

Synovial cyst of popliteal space [Baker], multiple sites

M7121

Synovial cyst of popliteal space [Baker], shoulder region

M7122

Synovial cyst of popliteal space [Baker], upper arm

M7123

Synovial cyst of popliteal space [Baker], forearm

M7124

Synovial cyst of popliteal space [Baker], hand

M7125

Synovial cyst of popliteal space [Baker], pelvic region and thigh

M7126

Synovial cyst of popliteal space [Baker], lower leg

M7127

Synovial cyst of popliteal space [Baker], ankle and foot

M7128

Synovial cyst of popliteal space [Baker], other

M7129

Synovial cyst of popliteal space [Baker], site unspecified

M713

Other bursal cyst

M7130

Other bursal cyst, multiple sites

M7131

Other bursal cyst, shoulder region

M7132

Other bursal cyst, upper arm

M7133

Other bursal cyst, forearm

-120-

Kode

Deskripsi

M7134

Other bursal cyst, hand

M7135

Other bursal cyst, pelvic region and thigh

M7136

Other bursal cyst, lower leg

M7137

Other bursal cyst, ankle and foot

M7138

Other bursal cyst, other

M7139

Other bursal cyst, site unspecified

M714

Calcium deposit in bursa

M7140

Calcium deposit in bursa, multiple sites

M7142

Calcium deposit in bursa, upper arm

M7143

Calcium deposit in bursa, forearm

M7144

Calcium deposit in bursa, hand

M7145

Calcium deposit in bursa, pelvic region and thigh

M7146

Calcium deposit in bursa, lower leg

M7147

Calcium deposit in bursa, ankle and foot

M7148

Calcium deposit in bursa, other

M7149

Calcium deposit in bursa, site unspecified

M715

Other bursitis, not elsewhere classified

M7150

Other bursitis, not elsewhere classified, multiple sites

M7152

Other bursitis, not elsewhere classified, upper arm

M7153

Other bursitis, not elsewhere classified, forearm

M7154

Other bursitis, not elsewhere classified, hand

M7155

Other bursitis, not elsewhere classified, pelvic region and thigh

M7156

Other bursitis, not elsewhere classified, lower leg

M7157

Other bursitis, not elsewhere classified, ankle and foot

M7158

Other bursitis, not elsewhere classified, other

M7159

Other bursitis, not elsewhere classified, site unspecified

M718

Other specified bursopathies

M7180

Other specified bursopathies, multiple sites

M7181

Other specified bursopathies, shoulder region

M7182

Other specified bursopathies, upper arm

M7183

Other specified bursopathies, forearm

M7184

Other specified bursopathies, hand

M7185

Other specified bursopathies, pelvic region and thigh

M7186

Other specified bursopathies, lower leg

M7187

Other specified bursopathies, ankle and foot

M7188

Other specified bursopathies, other

M7189

Other specified bursopathies, site unspecified

M719

Bursopathy, unspecified

M7190

Bursopathy, unspecified, multiple sites

M7191

Bursopathy, unspecified, shoulder region

M7192

Bursopathy, unspecified, upper arm

M7193

Bursopathy, unspecified, forearm

-121-

Kode

Deskripsi

M7194

Bursopathy, unspecified, hand

M7195

Bursopathy, unspecified, pelvic region and thigh

M7196

Bursopathy, unspecified, lower leg

M7197

Bursopathy, unspecified, ankle and foot

M7198

Bursopathy, unspecified, other

M7199

Bursopathy, unspecified, site unspecified

M720

Palmar fascial fibromatosis [dupuytren]

M7200

Palmar fascial fibromatosis [Dupuytren], multiple sites

M7201

Palmar fascial fibromatosis [Dupuytren], shoulder region

M7202

Palmar fascial fibromatosis [Dupuytren], upper arm

M7203

Palmar fascial fibromatosis [Dupuytren], forearm

M7204

Palmar fascial fibromatosis [Dupuytren], hand

M7205

Palmar fascial fibromatosis [Dupuytren], pelvic region and thigh

M7206

Palmar fascial fibromatosis [Dupuytren], lower leg

M7207

Palmar fascial fibromatosis [Dupuytren], ankle and foot

M7208

Palmar fascial fibromatosis [Dupuytren], other

M7209

Palmar fascial fibromatosis [Dupuytren], site unspecified

M721

Knuckle pads

M7210

Knuckle pads, multiple sites

M7211

Knuckle pads, shoulder region

M7212

Knuckle pads, upper arm

M7213

Knuckle pads, forearm

M7214

Knuckle pads, hand

M7215

Knuckle pads, pelvic region and thigh

M7216

Knuckle pads, lower leg

M7217

Knuckle pads, ankle and foot

M7218

Knuckle pads, other

M7219

Knuckle pads, site unspecified

M722

Plantar fascial fibromatosis

M7220

Plantar fascial fibromatosis, multiple sites

M7221

Plantar fascial fibromatosis, shoulder region

M7222

Plantar fascial fibromatosis, upper arm

M7223

Plantar fascial fibromatosis, forearm

M7224

Plantar fascial fibromatosis, hand

M7225

Plantar fascial fibromatosis, pelvic region and thigh

M7226

Plantar fascial fibromatosis, lower leg

M7227

Plantar fascial fibromatosis, ankle and foot

M7228

Plantar fascial fibromatosis, other

M7229

Plantar fascial fibromatosis, site unspecified

M724

Pseudosarcomatous fibromatosis

M7240

Pseudosarcomatous fibromatosis, multiple sites

M7241

Pseudosarcomatous fibromatosis, shoulder region

-122-

Kode

Deskripsi

M7242

Pseudosarcomatous fibromatosis, upper arm

M7243

Pseudosarcomatous fibromatosis, forearm

M7244

Pseudosarcomatous fibromatosis, hand

M7245

Pseudosarcomatous fibromatosis, pelvic region and thigh

M7246

Pseudosarcomatous fibromatosis, lower leg

M7247

Pseudosarcomatous fibromatosis, ankle and foot

M7248

Pseudosarcomatous fibromatosis, other

M7249

Pseudosarcomatous fibromatosis, site unspecified

M725

Fasciitis, not elsewhere classified

M7250

Fasciitis, not elsewhere classified, multiple sites

M7251

Fasciitis, not elsewhere classified, shoulder region

M7252

Fasciitis, not elsewhere classified, upper arm

M7253

Fasciitis, not elsewhere classified, forearm

M7254

Fasciitis, not elsewhere classified, hand

M7255

Fasciitis, not elsewhere classified, pelvic region and thigh

M7256

Fasciitis, not elsewhere classified, lower leg

M7257

Fasciitis, not elsewhere classified, ankle and foot

M7258

Fasciitis, not elsewhere classified, other

M7259

Fasciitis, not elsewhere classified, site unspecified

M726

Necrotizing fasciitis

M7260

Necrotizing fasciitis, multiple sites

M7261

Necrotizing fasciitis, shoulder region

M7262

Necrotizing fasciitis, upper arm

M7263

Necrotizing fasciitis, forearm

M7264

Necrotizing fasciitis, hand

M7265

Necrotizing fasciitis, pelvic region and thigh

M7266

Necrotizing fasciitis, lower leg

M7267

Necrotizing fasciitis, ankle and foot

M7268

Necrotizing fasciitis, other

M7269

Necrotizing fasciitis, site unspecified

M728

Other fibroblastic disorders

M7280

Other fibroblastic disorders, multiple sites

M7281

Other fibroblastic disorders, shoulder region

M7282

Other fibroblastic disorders, upper arm

M7283

Other fibroblastic disorders, forearm

M7284

Other fibroblastic disorders, hand

M7285

Other fibroblastic disorders, pelvic region and thigh

M7286

Other fibroblastic disorders, lower leg

M7287

Other fibroblastic disorders, ankle and foot

M7288

Other fibroblastic disorders, other

M7289

Other fibroblastic disorders, site unspecified

M729

Fibroblastic disorder, unspecified

-123-

Kode

Deskripsi

M7290

Fibroblastic disorder, unspecified, multiple sites

M7291

Fibroblastic disorder, unspecified, shoulder region

M7292

Fibroblastic disorder, unspecified, upper arm

M7293

Fibroblastic disorder, unspecified, forearm

M7294

Fibroblastic disorder, unspecified, hand

M7295

Fibroblastic disorder, unspecified, pelvic region and thigh

M7296

Fibroblastic disorder, unspecified, lower leg

M7297

Fibroblastic disorder, unspecified, ankle and foot

M7298

Fibroblastic disorder, unspecified, other

M7299

Fibroblastic disorder, unspecified, site unspecified

M730

Gonococcal bursitis

M7300

Gonococcal bursitis, multiple sites

M7301

Gonococcal bursitis, shoulder region

M7302

Gonococcal bursitis, upper arm

M7303

Gonococcal bursitis, forearm

M7304

Gonococcal bursitis, hand

M7305

Gonococcal bursitis, pelvic region and thigh

M7306

Gonococcal bursitis, lower leg

M7307

Gonococcal bursitis, ankle and foot

M7308

Gonococcal bursitis, other

M7309

Gonococcal bursitis, site unspecified

M731

Syphilitic bursitis

M7310

Syphilitic bursitis, multiple sites

M7311

Syphilitic bursitis, shoulder region

M7312

Syphilitic bursitis, upper arm

M7313

Syphilitic bursitis, forearm

M7314

Syphilitic bursitis, hand

M7315

Syphilitic bursitis, pelvic region and thigh

M7316

Syphilitic bursitis, lower leg

M7317

Syphilitic bursitis, ankle and foot

M7318

Syphilitic bursitis, other

M7319

Syphilitic bursitis, site unspecified

M738

Other soft tissue disorders in diseases classified elsewhere

M7380

Other soft tissue disorders in diseases classified elsewhere, multiple sites

M7381

Other soft tissue disorders in diseases classified elsewhere, shoulder region

M7382

Other soft tissue disorders in diseases classified elsewhere, upper arm

M7383

Other soft tissue disorders in diseases classified elsewhere, forearm

M7384

Other soft tissue disorders in diseases classified elsewhere, hand

M7385

Other soft tissue disorders in diseases classified elsewhere, pelvic region and thigh

M7386

Other soft tissue disorders in diseases classified elsewhere, lower leg

M7387

Other soft tissue disorders in diseases classified elsewhere, ankle and foot

M7388

Other soft tissue disorders in diseases classified elsewhere, other

-124-

Kode

Deskripsi

M7389

Other soft tissue disorders in diseases classified elsewhere, site unspecified

M750

Adhesive capsulitis of shoulder

M751

Rotator cuff syndrome

M752

Bicipital tendinitis

M753

Calcific tendinitis of shoulder

M754

Impingement syndrome of shoulder

M755

Bursitis of shoulder

M758

Other shoulder lesions

M759

Shoulder lesion, unspecified

M760

Gluteal tendinitis

M7600

Gluteal tendinitis, multiple sites

M7601

Gluteal tendinitis, shoulder region

M7602

Gluteal tendinitis, upper arm

M7603

Gluteal tendinitis, forearm

M7604

Gluteal tendinitis, hand

M7605

Gluteal tendinitis, pelvic region and thigh

M7606

Gluteal tendinitis, lower leg

M7607

Gluteal tendinitis, ankle and foot

M7608

Gluteal tendinitis, other

M7609

Gluteal tendinitis, site unspecified

M761

Psoas tendinitis

M7610

Psoas tendinitis, multiple sites

M7611

Psoas tendinitis, shoulder region

M7612

Psoas tendinitis, upper arm

M7613

Psoas tendinitis, forearm

M7614

Psoas tendinitis, hand

M7615

Psoas tendinitis, pelvic region and thigh

M7616

Psoas tendinitis, lower leg

M7617

Psoas tendinitis, ankle and foot

M7618

Psoas tendinitis, other

M7619

Psoas tendinitis, site unspecified

M762

Iliac crest spur

M7620

Iliac crest spur, multiple sites

M7621

Iliac crest spur, shoulder region

M7622

Iliac crest spur, upper arm

M7623

Iliac crest spur, forearm

M7624

Iliac crest spur, hand

M7625

Iliac crest spur, pelvic region and thigh

M7626

Iliac crest spur, lower leg

M7627

Iliac crest spur, ankle and foot

M7628

Iliac crest spur, other

M7629

Iliac crest spur, site unspecified

-125-

Kode

Deskripsi

M763

Iliotibial band syndrome

M7630

Iliotibial band syndrome, multiple sites

M7631

Iliotibial band syndrome, shoulder region

M7632

Iliotibial band syndrome, upper arm

M7633

Iliotibial band syndrome, forearm

M7634

Iliotibial band syndrome, hand

M7635

Iliotibial band syndrome, pelvic region and thigh

M7636

Iliotibial band syndrome, lower leg

M7637

Iliotibial band syndrome, ankle and foot

M7638

Iliotibial band syndrome, other

M7639

Iliotibial band syndrome, site unspecified

M764

Tibial collateral bursitis [pellegrini-stieda]

M7640

Tibial collateral bursitis [Pellegrini-Stieda], multiple sites

M7641

Tibial collateral bursitis [Pellegrini-Stieda], shoulder region

M7642

Tibial collateral bursitis [Pellegrini-Stieda], upper arm

M7643

Tibial collateral bursitis [Pellegrini-Stieda], forearm

M7644

Tibial collateral bursitis [Pellegrini-Stieda], hand

M7645

Tibial collateral bursitis [Pellegrini-Stieda], pelvic region and thigh

M7646

Tibial collateral bursitis [Pellegrini-Stieda], lower leg

M7647

Tibial collateral bursitis [Pellegrini-Stieda], ankle and foot

M7648

Tibial collateral bursitis [Pellegrini-Stieda], other

M7649

Tibial collateral bursitis [pellegrini-stieda], site unspecified

M765

Patellar tendinitis

M7650

Patellar tendinitis, multiple sites

M7651

Patellar tendinitis, shoulder region

M7652

Patellar tendinitis, upper arm

M7653

Patellar tendinitis, forearm

M7654

Patellar tendinitis, hand

M7655

Patellar tendinitis, pelvic region and thigh

M7656

Patellar tendinitis, lower leg

M7657

Patellar tendinitis, ankle and foot

M7658

Patellar tendinitis, other

M7659

Patellar tendinitis, site unspecified

M766

Achilles tendinitis

M7660

Achilles tendinitis, multiple sites

M7661

Achilles tendinitis, shoulder region

M7662

Achilles tendinitis, upper arm

M7663

Achilles tendinitis, forearm

M7664

Achilles tendinitis, hand

M7665

Achilles tendinitis, pelvic region and thigh

M7666

Achilles tendinitis, lower leg

M7667

Achilles tendinitis, ankle and foot

-126-

Kode

Deskripsi

M7668

Achilles tendinitis, other

M7669

Achilles tendinitis, site unspecified

M767

Peroneal tendinitis

M7670

Peroneal tendinitis, multiple sites

M7671

Peroneal tendinitis, shoulder region

M7672

Peroneal tendinitis, upper arm

M7673

Peroneal tendinitis, forearm

M7674

Peroneal tendinitis, hand

M7675

Peroneal tendinitis, pelvic region and thigh

M7676

Peroneal tendinitis, lower leg

M7677

Peroneal tendinitis, ankle and foot

M7678

Peroneal tendinitis, other

M7679

Peroneal tendinitis, site unspecified

M768

Other enthesopathies of lower limb, excluding foot

M7680

Other enthesopathies of lower limb, excluding foot, multiple sites

M7681

Other enthesopathies of lower limb, excluding foot, shoulder region

M7682

Other enthesopathies of lower limb, excluding foot, upper arm

M7683

Other enthesopathies of lower limb, excluding foot, forearm

M7684

Other enthesopathies of lower limb, excluding foot, hand

M7685

Other enthesopathies of lower limb, excluding foot, pelvic region and thigh

M7686

Other enthesopathies of lower limb, excluding foot, lower leg

M7687

Other enthesopathies of lower limb, excluding foot, ankle and foot

M7688

Other enthesopathies of lower limb, excluding foot, other

M7689

Other enthesopathies of lower limb, excluding foot, site unspecified

M769

Enthesopathy of lower limb, unspecified

M7690

Enthesopathy of lower limb, unspecified, multiple sites

M7691

Enthesopathy of lower limb, unspecified, shoulder region

M7692

Enthesopathy of lower limb, unspecified, upper arm

M7693

Enthesopathy of lower limb, unspecified, forearm

M7694

Enthesopathy of lower limb, unspecified, hand

M7695

Enthesopathy of lower limb, unspecified, pelvic region and thigh

M7696

Enthesopathy of lower limb, unspecified, lower leg

M7697

Enthesopathy of lower limb, unspecified, ankle and foot

M7698

Enthesopathy of lower limb, unspecified, other

M7699

Enthesopathy of lower limb, unspecified, site unspecified

M770

Medial epicondylitis

M7700

Medial epicondylitis, multiple sites

M7701

Medial epicondylitis, shoulder region

M7702

Medial epicondylitis, upper arm

M7703

Medial epicondylitis, forearm

M7704

Medial epicondylitis, hand

M7705

Medial epicondylitis, pelvic region and thigh

-127-

Kode

Deskripsi

M7706

Medial epicondylitis, lower leg

M7707

Medial epicondylitis, ankle and foot

M7708

Medial epicondylitis, other

M7709

Medial epicondylitis, site unspecified

M771

Lateral epicondylitis

M7710

Lateral epicondylitis, multiple sites

M7711

Lateral epicondylitis, shoulder region

M7712

Lateral epicondylitis, upper arm

M7713

Lateral epicondylitis, forearm

M7714

Lateral epicondylitis, hand

M7715

Lateral epicondylitis, pelvic region and thigh

M7716

Lateral epicondylitis, lower leg

M7717

Lateral epicondylitis, ankle and foot

M7718

Lateral epicondylitis, other

M7719

Lateral epicondylitis, site unspecified

M772

Periarthritis of wrist

M7720

Periarthritis of wrist, multiple sites

M7721

Periarthritis of wrist, shoulder region

M7722

Periarthritis of wrist, upper arm

M7723

Periarthritis of wrist, forearm

M7724

Periarthritis of wrist, hand

M7725

Periarthritis of wrist, pelvic region and thigh

M7726

Periarthritis of wrist, lower leg

M7727

Periarthritis of wrist, ankle and foot

M7728

Periarthritis of wrist, other

M7729

Periarthritis of wrist, site unspecified

M773

Calcaneal spur

M7730

Calcaneal spur, multiple sites

M7731

Calcaneal spur, shoulder region

M7732

Calcaneal spur, upper arm

M7733

Calcaneal spur, forearm

M7734

Calcaneal spur, hand

M7735

Calcaneal spur, pelvic region and thigh

M7736

Calcaneal spur, lower leg

M7737

Calcaneal spur, ankle and foot

M7738

Calcaneal spur, other

M7739

Calcaneal spur, site unspecified

M774

Metatarsalgia

M7740

Metatarsalgia, multiple sites

M7741

Metatarsalgia, shoulder region

M7742

Metatarsalgia, upper arm

M7743

Metatarsalgia, forearm

-128-

Kode

Deskripsi

M7744

Metatarsalgia, hand

M7745

Metatarsalgia, pelvic region and thigh

M7746

Metatarsalgia, lower leg

M7747

Metatarsalgia, ankle and foot

M7748

Metatarsalgia, other

M7749

Metatarsalgia, site unspecified

M775

Other enthesopathy of foot

M7750

Other enthesopathy of foot, multiple sites

M7751

Other enthesopathy of foot, shoulder region

M7752

Other enthesopathy of foot, upper arm

M7753

Other enthesopathy of foot, forearm

M7754

Other enthesopathy of foot, hand

M7755

Other enthesopathy of foot, pelvic region and thigh

M7756

Other enthesopathy of foot, lower leg

M7757

Other enthesopathy of foot, ankle and foot

M7758

Other enthesopathy of foot, other

M7759

Other enthesopathy of foot, site unspecified

M778

Other enthesopathies, not elsewhere classified

M7780

Other enthesopathies, not elsewhere classified, multiple sites

M7781

Other enthesopathies, not elsewhere classified, shoulder region

M7782

Other enthesopathies, not elsewhere classified, upper arm

M7783

Other enthesopathies, not elsewhere classified, forearm

M7784

Other enthesopathies, not elsewhere classified, hand

M7785

Other enthesopathies, not elsewhere classified, pelvic region and thigh

M7786

Other enthesopathies, not elsewhere classified, lower leg

M7787

Other enthesopathies, not elsewhere classified, ankle and foot

M7788

Other enthesopathies, not elsewhere classified, other

M7789

Other enthesopathies, not elsewhere classified, site unspecified

M779

Enthesopathy, unspecified

M7790

Enthesopathy, unspecified, multiple sites

M7791

Enthesopathy, unspecified, shoulder region

M7792

Enthesopathy, unspecified, upper arm

M7793

Enthesopathy, unspecified, forearm

M7794

Enthesopathy, unspecified, hand

M7795

Enthesopathy, unspecified, pelvic region and thigh

M7796

Enthesopathy, unspecified, lower leg

M7797

Enthesopathy, unspecified, ankle and foot

M7798

Enthesopathy, unspecified, other

M7799

Enthesopathy, unspecified, site unspecified

M790

Rheumatism, unspecified

M7900

Rheumatism, unspecified, multiple sites

M7901

Rheumatism, unspecified, shoulder region

-129-

Kode

Deskripsi

M7902

Rheumatism, unspecified, upper arm

M7903

Rheumatism, unspecified, forearm

M7904

Rheumatism, unspecified, hand

M7905

Rheumatism, unspecified, pelvic region and thigh

M7906

Rheumatism, unspecified, lower leg

M7907

Rheumatism, unspecified, ankle and foot

M7908

Rheumatism, unspecified, other

M7909

Rheumatism, unspecified, site unspecified

M791

Myalgia

M7910

Myalgia, multiple sites

M7911

Myalgia, shoulder region

M7912

Myalgia, upper arm

M7913

Myalgia, forearm

M7914

Myalgia, hand

M7915

Myalgia, pelvic and thigh

M7916

Myalgia, lower leg

M7917

Myalgia, ankle and foot

M7918

Myalgia, other site

M7919

Myalgia, site unspecified

M792

Neuralgia and neuritis, unspecified

M7920

Neuralgia and neuritis, unspecified, multiple sites

M7921

Neuralgia and neuritis, unspecified, shoulder region

M7922

Neuralgia and neuritis, unspecified, upper arm

M7923

Neuralgia and neuritis, unspecified, forearm

M7924

Neuralgia and neuritis, unspecified, hand

M7925

Neuralgia and neuritis, unspecified, pelvic and thigh

M7926

Neuralgia and neuritis, unspecified, lower leg

M7927

Neuralgia and neuritis, unspecified, ankle and foot

M7928

Neuralgia and neuritis, unspecified, other site

M7929

Neuralgia and neuritis, unspecified, site unspecified

M793

Panniculitis, unspecified

M7930

Panniculitis, unspecified, multiple sites

M7931

Panniculitis, unspecified, shoulder region

M7932

Panniculitis, unspecified, upper arm

M7933

Panniculitis, unspecified, forearm

M7934

Panniculitis, unspecified, hand

M7935

Panniculitis, unspecified, pelvic and thigh

M7936

Panniculitis, unspecified, lower leg

M7937

Panniculitis, unspecified, ankle and foot

M7938

Panniculitis, unspecified, other site

M7939

Panniculitis, unspecified, site unspecified

M794

Hypertrophy of (infrapatellar) fat pad

-130-

Kode

Deskripsi

M7940

Hypertrophy of (infrapatellar) fat pad, multiple sites

M7941

Hypertrophy of (infrapatellar) fat pad, shoulder region

M7942

Hypertrophy of (infrapatellar) fat pad, upper arm

M7943

Hypertrophy of (infrapatellar) fat pad, forearm

M7944

Hypertrophy of (infrapatellar) fat pad, hand

M7945

Hypertrophy of (infrapatellar) fat pad, pelvic region and thigh

M7946

Hypertrophy of (infrapatellar) fat pad, lower leg

M7947

Hypertrophy of (infrapatellar) fat pad, ankle and foot

M7948

Hypertrophy of (infrapatellar) fat pad, other

M7949

Hypertrophy of (infrapatellar) fat pad, site unspecified

M795

Residual foreign body in soft tissue

M7950

Residual foreign body in soft tissue, multiple sites

M7951

Residual foreign body in soft tissue, shoulder region

M7952

Residual foreign body in soft tissue, upper arm

M7953

Residual foreign body in soft tissue, forearm

M7954

Residual foreign body in soft tissue, hand

M7955

Residual foreign body in soft tissue, pelvic and thigh

M7956

Residual foreign body in soft tissue, lower leg

M7957

Residual foreign body in soft tissue, ankle and foot

M7958

Residual foreign body in soft tissue, other site

M7959

Residual foreign body in soft tissue, site unspecified

M796

Pain in limb

M7960

Pain in limb, multiple sites

M7961

Pain in limb, shoulder region

M7962

Pain in limb, upper arm

M7963

Pain in limb, forearm

M7964

Pain in limb, hand

M7965

Pain in limb, pelvic and thigh

M7966

Pain in limb, lower leg

M7967

Pain in limb, ankle and foot

M7968

Pain in limb, other site

M7969

Pain in limb, site unspecified

M798

Other specified soft tissue disorders

M7980

Other specified soft tissue disorders, multiple sites

M7981

Other specified soft tissue disorders, shoulder region

M7982

Other specified soft tissue disorders, upper arm

M7983

Other specified soft tissue disorders, forearm

M7984

Other specified soft tissue disorders, hand

M7985

Other specified soft tissue disorders, pelvic and thigh

M7986

Other specified soft tissue disorders, lower leg

M7987

Other specified soft tissue disorders, ankle and foot

M7988

Other specified soft tissue disorders, other site

-131-

Kode

Deskripsi

M7989

Other specified soft tissue disorders, site unspecified

M799

Soft tissue disorder, unspecified

M7990

Soft tissue disorder, unspecified, multiple sites

M7991

Soft tissue disorder, unspecified, shoulder region

M7992

Soft tissue disorder, unspecified, upper arm

M7993

Soft tissue disorder, unspecified, forearm

M7994

Soft tissue disorder, unspecified, hand

M7995

Soft tissue disorder, unspecified, pelvic and thigh

M7996

Soft tissue disorder, unspecified, lower leg

M7997

Soft tissue disorder, unspecified, ankle and foot

M7998

Soft tissue disorder, unspecified, other site

M7999

Soft tissue disorder, unspecified, site unspecified

M800

Postmenopausal osteoporosis with pathological fracture

M8000

Postmenopausal osteoporosis with pathological fracture, multiple sites

M8001

Postmenopausal osteoporosis with pathological fracture, shoulder region

M8002

Postmenopausal osteoporosis with pathological fracture, upper arm

M8003

Postmenopausal osteoporosis with pathological fracture, forearm

M8004

Postmenopausal osteoporosis with pathological fracture, hand

M8005

Postmenopausal osteoporosis with pathological fracture, pelvic and thigh

M8006

Postmenopausal osteoporosis with pathological fracture, lower leg

M8007

Postmenopausal osteoporosis with pathological fracture, ankle and foot

M8008

Postmenopausal osteoporosis with pathological fracture, other site

M8009

Postmenopausal osteoporosis with pathological fracture, site unspecified

M801

Postoophorectomy osteoporosis with pathological fracture

M8010

Postoophorectomy osteoporosis with pathological fracture, multiple sites

M8011

Postoophorectomy osteoporosis with pathological fracture, shoulder region

M8012

Postoophorectomy osteoporosis with pathological fracture, upper arm

M8013

Postoophorectomy osteoporosis with pathological fracture, forearm

M8014

Postoophorectomy osteoporosis with pathological fracture, hand

M8015

Postoophorectomy osteoporosis with pathological fracture, pelvic and thigh

M8016

Postoophorectomy osteoporosis with pathological fracture, lower leg

M8017

Postoophorectomy osteoporosis with pathological fracture, ankle and foot

M8018

Postoophorectomy osteoporosis with pathological fracture, other site

M8019

Postoophorectomy osteoporosis with pathological fracture, site unspecified

M802

Osteoporosis of disuse with pathological fracture

M8020

Osteoporosis of disuse with pathological fracture, multiple sites

M8021

Osteoporosis of disuse with pathological fracture, shoulder region

M8022

Osteoporosis of disuse with pathological fracture, upper arm

M8023

Osteoporosis of disuse with pathological fracture, forearm

M8024

Osteoporosis of disuse with pathological fracture, hand

M8025

Osteoporosis of disuse with pathological fracture, pelvic and thigh

M8026

Osteoporosis of disuse with pathological fracture, lower leg

-132-

Kode

Deskripsi

M8027

Osteoporosis of disuse with pathological fracture, ankle and foot

M8028

Osteoporosis of disuse with pathological fracture, other site

M8029

Osteoporosis of disuse with pathological fracture, site unspecified

M803

Postsurgical malabsorption osteoporosis with path fracture

M8030

Postsurgical malabsorption osteoporosis with path fracture, multiple sites

M8031

Postsurgical malabsorption osteoporosis with path fracture, shoulder region

M8032

Postsurgical malabsorption osteoporosis with path fracture, upper arm

M8033

Postsurgical malabsorption osteoporosis with path fracture, forearm

M8034

Postsurgical malabsorption osteoporosis with path fracture, hand

M8035

Postsurgical malabsorption osteoporosis with path fracture, pelvic and thigh

M8036

Postsurgical malabsorption osteoporosis with path fracture, lower leg

M8037

Postsurgical malabsorption osteoporosis with path fracture, ankle and foot

M8038

Postsurgical malabsorption osteoporosis with path fracture, other site

M8039

Postsurgical malabsorption osteoporosis with path fracture, site unspecified

M804

Drug-induced osteoporosis with pathological fracture

M8040

Drug-induced osteoporosis with pathological fracture, multiple sites

M8041

Drug-induced osteoporosis with pathological fracture, shoulder region

M8042

Drug-induced osteoporosis with pathological fracture, upper arm

M8043

Drug-induced osteoporosis with pathological fracture, forearm

M8044

Drug-induced osteoporosis with pathological fracture, hand

M8045

Drug-induced osteoporosis with pathological fracture, pelvic and thigh

M8046

Drug-induced osteoporosis with pathological fracture, lower leg

M8047

Drug-induced osteoporosis with pathological fracture, ankle and foot

M8048

Drug-induced osteoporosis with pathological fracture, other site

M8049

Drug-induced osteoporosis with pathological fracture, site unspecified

M805

Idiopathic osteoporosis with pathological fracture

M8050

Idiopathic osteoporosis with pathological fracture, multiple sites

M8051

Idiopathic osteoporosis with pathological fracture, shoulder region

M8052

Idiopathic osteoporosis with pathological fracture, upper arm

M8053

Idiopathic osteoporosis with pathological fracture, forearm

M8054

Idiopathic osteoporosis with pathological fracture, hand

M8055

Idiopathic osteoporosis with pathological fracture, pelvic and thigh

M8056

Idiopathic osteoporosis with pathological fracture, lower leg

M8057

Idiopathic osteoporosis with pathological fracture, ankle and foot

M8058

Idiopathic osteoporosis with pathological fracture, other site

M8059

Idiopathic osteoporosis with pathological fracture, site unspecified

M808

Other osteoporosis with pathological fracture

M8080

Other osteoporosis with pathological fracture, multiple sites

M8081

Other osteoporosis with pathological fracture, shoulder region

M8082

Other osteoporosis with pathological fracture, upper arm

M8083

Other osteoporosis with pathological fracture, forearm

M8084

Other osteoporosis with pathological fracture, hand

-133-

Kode

Deskripsi

M8085

Other osteoporosis with pathological fracture, pelvic and thigh

M8086

Other osteoporosis with pathological fracture, lower leg

M8087

Other osteoporosis with pathological fracture, ankle and foot

M8088

Other osteoporosis with pathological fracture, other site

M8089

Other osteoporosis with pathological fracture, site unspecified

M809

Unspecified osteoporosis with pathological fracture

M8090

Unspecified osteoporosis with pathological fracture, multiple sites

M8091

Unspecified osteoporosis with pathological fracture, shoulder region

M8092

Unspecified osteoporosis with pathological fracture, upper arm

M8093

Unspecified osteoporosis with pathological fracture, forearm

M8094

Unspecified osteoporosis with pathological fracture, hand

M8095

Unspecified osteoporosis with pathological fracture, pelvic and thigh

M8096

Unspecified osteoporosis with pathological fracture, lower leg

M8097

Unspecified osteoporosis with pathological fracture, ankle and foot

M8098

Unspecified osteoporosis with pathological fracture, other site

M8099

Unspecified osteoporosis with pathological fracture, site unspecified

M810

Postmenopausal osteoporosis

M8100

Postmenopausal osteoporosis, multiple sites

M8101

Postmenopausal osteoporosis, shoulder region

M8102

Postmenopausal osteoporosis, upper arm

M8103

Postmenopausal osteoporosis, forearm

M8104

Postmenopausal osteoporosis, hand

M8105

Postmenopausal osteoporosis, pelvic and thigh

M8106

Postmenopausal osteoporosis, lower leg

M8107

Postmenopausal osteoporosis, ankle and foot

M8108

Postmenopausal osteoporosis, other site

M8109

Postmenopausal osteoporosis, site unspecified

M811

Postoophorectomy osteoporosis

M8110

Postoophorectomy osteoporosis, multiple sites

M8111

Postoophorectomy osteoporosis, shoulder region

M8112

Postoophorectomy osteoporosis, upper arm

M8113

Postoophorectomy osteoporosis, forearm

M8114

Postoophorectomy osteoporosis, hand

M8115

Postoophorectomy osteoporosis, pelvic and thigh

M8116

Postoophorectomy osteoporosis, lower leg

M8117

Postoophorectomy osteoporosis, ankle and foot

M8118

Postoophorectomy osteoporosis, other site

M8119

Postoophorectomy osteoporosis, site unspecified

M812

Osteoporosis of disuse

M8120

Osteoporosis of disuse, multiple sites

M8121

Osteoporosis of disuse, shoulder region

M8122

Osteoporosis of disuse, upper arm

-134-

Kode

Deskripsi

M8123

Osteoporosis of disuse, forearm

M8124

Osteoporosis of disuse, hand

M8125

Osteoporosis of disuse, pelvic and thigh

M8126

Osteoporosis of disuse, lower leg

M8127

Osteoporosis of disuse, ankle and foot

M8128

Osteoporosis of disuse, other site

M8129

Osteoporosis of disuse, site unspecified

M813

Postsurgical malabsorption osteoporosis

M8130

Postsurgical malabsorption osteoporosis, multiple sites

M8131

Postsurgical malabsorption osteoporosis, shoulder region

M8132

Postsurgical malabsorption osteoporosis, upper arm

M8133

Postsurgical malabsorption osteoporosis, forearm

M8134

Postsurgical malabsorption osteoporosis, hand

M8135

Postsurgical malabsorption osteoporosis, pelvic and thigh

M8136

Postsurgical malabsorption osteoporosis, lower leg

M8137

Postsurgical malabsorption osteoporosis, ankle and foot

M8138

Postsurgical malabsorption osteoporosis, other site

M8139

Postsurgical malabsorption osteoporosis, site unspecified

M814

Drug-induced osteoporosis

M8140

Drug-induced osteoporosis, multiple sites

M8141

Drug-induced osteoporosis, shoulder region

M8142

Drug-induced osteoporosis, upper arm

M8143

Drug-induced osteoporosis, forearm

M8144

Drug-induced osteoporosis, hand

M8145

Drug-induced osteoporosis, pelvic and thigh

M8146

Drug-induced osteoporosis, lower leg

M8147

Drug-induced osteoporosis, ankle and foot

M8148

Drug-induced osteoporosis, other site

M8149

Drug-induced osteoporosis, site unspecified

M815

Idiopathic osteoporosis

M8150

Idiopathic osteoporosis, multiple sites

M8151

Idiopathic osteoporosis, shoulder region

M8152

Idiopathic osteoporosis, upper arm

M8153

Idiopathic osteoporosis, forearm

M8154

Idiopathic osteoporosis, hand

M8155

Idiopathic osteoporosis, pelvic and thigh

M8156

Idiopathic osteoporosis, lower leg

M8157

Idiopathic osteoporosis, ankle and foot

M8158

Idiopathic osteoporosis, other site

M8159

Idiopathic osteoporosis, site unspecified

M816

Localized osteoporosis [lequesne]

M8160

Localized osteoporosis [lequesne], multiple sites

-135-

Kode

Deskripsi

M8161

Localized osteoporosis [lequesne], shoulder region

M8162

Localized osteoporosis [lequesne], upper arm

M8163

Localized osteoporosis [lequesne], forearm

M8164

Localized osteoporosis [lequesne], hand

M8165

Localized osteoporosis [lequesne], pelvic and thigh

M8166

Localized osteoporosis [lequesne], lower leg

M8167

Localized osteoporosis [lequesne], ankle and foot

M8168

Localized osteoporosis [lequesne], other site

M8169

Localized osteoporosis [lequesne], site unspecified

M818

Other osteoporosis

M8180

Other osteoporosis, multiple sites

M8181

Other osteoporosis, shoulder region

M8182

Other osteoporosis, upper arm

M8183

Other osteoporosis, forearm

M8184

Other osteoporosis, hand

M8185

Other osteoporosis, pelvic and thigh

M8186

Other osteoporosis, lower leg

M8187

Other osteoporosis, ankle and foot

M8188

Other osteoporosis, other site

M8189

Other osteoporosis, site unspecified

M819

Osteoporosis, unspecified

M8190

Osteoporosis, unspecified, multiple sites

M8191

Osteoporosis, unspecified, shoulder region

M8192

Osteoporosis, unspecified, upper arm

M8193

Osteoporosis, unspecified, forearm

M8194

Osteoporosis, unspecified, hand

M8195

Osteoporosis, unspecified, pelvic and thigh

M8196

Osteoporosis, unspecified, lower leg

M8197

Osteoporosis, unspecified, ankle and foot

M8198

Osteoporosis, unspecified, other site

M8199

Osteoporosis, unspecified, site unspecified

M820

Osteoporosis in multiple myelomatosis

M8200

Osteoporosis in multiple myelomatosis, multiple sites

M8201

Osteoporosis in multiple myelomatosis, shoulder region

M8202

Osteoporosis in multiple myelomatosis, upper arm

M8203

Osteoporosis in multiple myelomatosis, forearm

M8204

Osteoporosis in multiple myelomatosis, hand

M8205

Osteoporosis in multiple myelomatosis, pelvic and thigh

M8206

Osteoporosis in multiple myelomatosis, lower leg

M8207

Osteoporosis in multiple myelomatosis, ankle and foot

M8208

Osteoporosis in multiple myelomatosis, other site

M8209

Osteoporosis in multiple myelomatosis, site unspecified

-136-

Kode

Deskripsi

M821

Osteoporosis in endocrine disorders

M8210

Osteoporosis in endocrine disorders, multiple sites

M8211

Osteoporosis in endocrine disorders, shoulder region

M8212

Osteoporosis in endocrine disorders, upper arm

M8213

Osteoporosis in endocrine disorders, forearm

M8214

Osteoporosis in endocrine disorders, hand

M8215

Osteoporosis in endocrine disorders, pelvic and thigh

M8216

Osteoporosis in endocrine disorders, lower leg

M8217

Osteoporosis in endocrine disorders, ankle and foot

M8218

Osteoporosis in endocrine disorders, other site

M8219

Osteoporosis in endocrine disorders, site unspecified

M828

Osteoporosis in other diseases classified elsewhere

M8280

Osteoporosis in other diseases classified elsewhere, multiple sites

M8281

Osteoporosis in other diseases classified elsewhere, shoulder region

M8282

Osteoporosis in other diseases classified elsewhere, upper arm

M8283

Osteoporosis in other diseases classified elsewhere, forearm

M8284

Osteoporosis in other diseases classified elsewhere, hand

M8285

Osteoporosis in other diseases classified elsewhere, pelvic and thigh

M8286

Osteoporosis in other diseases classified elsewhere, lower leg

M8287

Osteoporosis in other diseases classified elsewhere, ankle and foot

M8288

Osteoporosis in other diseases classified elsewhere, other site

M8289

Osteoporosis in other diseases classified elsewhere, site unspecified

M830

Puerperal osteomalacia

M8300

Puerperal osteomalacia, multiple sites

M8301

Puerperal osteomalacia, shoulder region

M8302

Puerperal osteomalacia, upper arm

M8303

Puerperal osteomalacia, forearm

M8304

Puerperal osteomalacia, hand

M8305

Puerperal osteomalacia, pelvic and thigh

M8306

Puerperal osteomalacia, lower leg

M8307

Puerperal osteomalacia, ankle and foot

M8308

Puerperal osteomalacia, other site

M8309

Puerperal osteomalacia, site unspecified

M831

Senile osteomalacia

M8310

Senile osteomalacia, multiple sites

M8311

Senile osteomalacia, shoulder region

M8312

Senile osteomalacia, upper arm

M8313

Senile osteomalacia, forearm

M8314

Senile osteomalacia, hand

M8315

Senile osteomalacia, pelvic and thigh

M8316

Senile osteomalacia, lower leg

M8317

Senile osteomalacia, ankle and foot

-137-

Kode

Deskripsi

M8318

Senile osteomalacia, other site

M8319

Senile osteomalacia, site unspecified

M832

Adult osteomalacia due to malabsorption

M8320

Adult osteomalacia due to malabsorption, multiple sites

M8321

Adult osteomalacia due to malabsorption, shoulder region

M8322

Adult osteomalacia due to malabsorption, upper arm

M8323

Adult osteomalacia due to malabsorption, forearm

M8324

Adult osteomalacia due to malabsorption, hand

M8325

Adult osteomalacia due to malabsorption, pelvic and thigh

M8326

Adult osteomalacia due to malabsorption, lower leg

M8327

Adult osteomalacia due to malabsorption, ankle and foot

M8328

Adult osteomalacia due to malabsorption, other site

M8329

Adult osteomalacia due to malabsorption, site unspecified

M833

Adult osteomalacia due to malnutrition

M8330

Adult osteomalacia due to malnutrition, multiple sites

M8331

Adult osteomalacia due to malnutrition, shoulder region

M8332

Adult osteomalacia due to malnutrition, upper arm

M8333

Adult osteomalacia due to malnutrition, forearm

M8334

Adult osteomalacia due to malnutrition, hand

M8335

Adult osteomalacia due to malnutrition, pelvic and thigh

M8336

Adult osteomalacia due to malnutrition, lower leg

M8337

Adult osteomalacia due to malnutrition, ankle and foot

M8338

Adult osteomalacia due to malnutrition, other site

M8339

Adult osteomalacia due to malnutrition, site unspecified

M834

Aluminium bone disease

M8340

Aluminium bone disease, multiple sites

M8341

Aluminium bone disease, shoulder region

M8342

Aluminium bone disease, upper arm

M8343

Aluminium bone disease, forearm

M8344

Aluminium bone disease, hand

M8345

Aluminium bone disease, pelvic and thigh

M8346

Aluminium bone disease, lower leg

M8347

Aluminium bone disease, ankle and foot

M8348

Aluminium bone disease, other site

M8349

Aluminium bone disease, site unspecified

M835

Other drug-induced osteomalacia in adults

M8350

Other drug-induced osteomalacia in adults, multiple sites

M8351

Other drug-induced osteomalacia in adults, shoulder region

M8352

Other drug-induced osteomalacia in adults, upper arm

M8353

Other drug-induced osteomalacia in adults, forearm

M8354

Other drug-induced osteomalacia in adults, hand

M8355

Other drug-induced osteomalacia in adults, pelvic and thigh

-138-

Kode

Deskripsi

M8356

Other drug-induced osteomalacia in adults, lower leg

M8357

Other drug-induced osteomalacia in adults, ankle and foot

M8358

Other drug-induced osteomalacia in adults, other site

M8359

Other drug-induced osteomalacia in adults, site unspecified

M838

Other adult osteomalacia

M8380

Other adult osteomalacia, multiple sites

M8381

Other adult osteomalacia, shoulder region

M8382

Other adult osteomalacia, upper arm

M8383

Other adult osteomalacia, forearm

M8384

Other adult osteomalacia, hand

M8385

Other adult osteomalacia, pelvic and thigh

M8386

Other adult osteomalacia, lower leg

M8387

Other adult osteomalacia, ankle and foot

M8388

Other adult osteomalacia, other site

M8389

Other adult osteomalacia, site unspecified

M839

Adult osteomalacia, unspecified

M8390

Adult osteomalacia, unspecified, multiple sites

M8391

Adult osteomalacia, unspecified, shoulder region

M8392

Adult osteomalacia, unspecified, upper arm

M8393

Adult osteomalacia, unspecified, forearm

M8394

Adult osteomalacia, unspecified, hand

M8395

Adult osteomalacia, unspecified, pelvic and thigh

M8396

Adult osteomalacia, unspecified, lower leg

M8397

Adult osteomalacia, unspecified, ankle and foot

M8398

Adult osteomalacia, unspecified, other site

M8399

Adult osteomalacia, unspecified, site unspecified

M840

Malunion of fracture

M8400

Malunion of fracture, multiple sites

M8401

Malunion of fracture, shoulder region

M8402

Malunion of fracture, upper arm

M8403

Malunion of fracture, forearm

M8404

Malunion of fracture, hand

M8405

Malunion of fracture, pelvic and thigh

M8406

Malunion of fracture, lower leg

M8407

Malunion of fracture, ankle and foot

M8408

Malunion of fracture, other site

M8409

Malunion of fracture, site unspecified

M841

Nonunion of fracture [pseudarthrosis]

M8410

Nonunion of fracture [pseudarthrosis], multiple sites

M8411

Nonunion of fracture [pseudarthrosis], shoulder region

M8412

Nonunion of fracture [pseudarthrosis], upper arm

M8413

Nonunion of fracture [pseudarthrosis], forearm

-139-

Kode

Deskripsi

M8414

Nonunion of fracture [pseudarthrosis], hand

M8415

Nonunion of fracture [pseudarthrosis], pelvic and thigh

M8416

Nonunion of fracture [pseudarthrosis], lower leg

M8417

Nonunion of fracture [pseudarthrosis], ankle and foot

M8418

Nonunion of fracture [pseudarthrosis], other site

M8419

Nonunion of fracture [pseudarthrosis], site unspecified

M842

Delayed union of fracture

M8420

Delayed union of fracture, multiple sites

M8421

Delayed union of fracture, shoulder region

M8422

Delayed union of fracture, upper arm

M8423

Delayed union of fracture, forearm

M8424

Delayed union of fracture, hand

M8425

Delayed union of fracture, pelvic and thigh

M8426

Delayed union of fracture, lower leg

M8427

Delayed union of fracture, ankle and foot

M8428

Delayed union of fracture, other site

M8429

Delayed union of fracture, site unspecified

M843

Stress fracture, not elsewhere classified

M8430

Stress fracture, not elsewhere classified, multiple sites

M8431

Stress fracture, not elsewhere classified, shoulder region

M8432

Stress fracture, not elsewhere classified, upper arm

M8433

Stress fracture, not elsewhere classified, forearm

M8434

Stress fracture, not elsewhere classified, hand

M8435

Stress fracture, not elsewhere classified, pelvic and thigh

M8436

Stress fracture, not elsewhere classified, lower leg

M8437

Stress fracture, not elsewhere classified, ankle and foot

M8438

Stress fracture, not elsewhere classified, other site

M8439

Stress fracture, not elsewhere classified, site unspecified

M844

Pathological fracture, not elsewhere classified

M8440

Pathological fracture, not elsewhere classified, multiple sites

M8441

Pathological fracture, not elsewhere classified, shoulder region

M8442

Pathological fracture, not elsewhere classified, upper arm

M8443

Pathological fracture, not elsewhere classified, forearm

M8444

Pathological fracture, not elsewhere classified, hand

M8445

Pathological fracture, not elsewhere classified, pelvic and thigh

M8446

Pathological fracture, not elsewhere classified, lower leg

M8447

Pathological fracture, not elsewhere classified, ankle and foot

M8448

Pathological fracture, not elsewhere classified, other site

M8449

Pathological fracture, not elsewhere classified, site unspecified

M848

Other disorders of continuity of bone

M8480

Other disorders of continuity of bone, multiple sites

M8481

Other disorders of continuity of bone, shoulder region

-140-

Kode

Deskripsi

M8482

Other disorders of continuity of bone, upper arm

M8483

Other disorders of continuity of bone, forearm

M8484

Other disorders of continuity of bone, hand

M8485

Other disorders of continuity of bone, pelvic and thigh

M8486

Other disorders of continuity of bone, lower leg

M8487

Other disorders of continuity of bone, ankle and foot

M8488

Other disorders of continuity of bone, other site

M8489

Other disorders of continuity of bone, site unspecified

M849

Disorder of continuity of bone, unspecified

M8490

Disorder of continuity of bone, unspecified, multiple sites

M8491

Disorder of continuity of bone, unspecified, shoulder region

M8492

Disorder of continuity of bone, unspecified, upper arm

M8493

Disorder of continuity of bone, unspecified, forearm

M8494

Disorder of continuity of bone, unspecified, hand

M8495

Disorder of continuity of bone, unspecified, pelvic and thigh

M8496

Disorder of continuity of bone, unspecified, lower leg

M8497

Disorder of continuity of bone, unspecified, ankle and foot

M8498

Disorder of continuity of bone, unspecified, other site

M8499

Disorder of continuity of bone, unspecified, site unspecified

M850

Fibrous dysplasia (monostotic)

M8500

Fibrous dysplasia (monostotic), multiple sites

M8501

Fibrous dysplasia (monostotic), shoulder region

M8502

Fibrous dysplasia (monostotic), upper arm

M8503

Fibrous dysplasia (monostotic), forearm

M8504

Fibrous dysplasia (monostotic), hand

M8505

Fibrous dysplasia (monostotic), pelvic and thigh

M8506

Fibrous dysplasia (monostotic), lower leg

M8507

Fibrous dysplasia (monostotic), ankle and foot

M8508

Fibrous dysplasia (monostotic), other site

M8509

Fibrous dysplasia (monostotic), site unspecified

M851

Skeletal fluorosis

M8510

Skeletal fluorosis, multiple sites

M8511

Skeletal fluorosis, shoulder region

M8512

Skeletal fluorosis, upper arm

M8513

Skeletal fluorosis, forearm

M8514

Skeletal fluorosis, hand

M8515

Skeletal fluorosis, pelvic and thigh

M8516

Skeletal fluorosis, lower leg

M8517

Skeletal fluorosis, ankle and foot

M8518

Skeletal fluorosis, other site

M8519

Skeletal fluorosis, site unspecified

M852

Hyperostosis of skull

-141-

Kode

Deskripsi

M8520

Hyperostosis of skull, multiple sites

M8521

Hyperostosis of skull, shoulder region

M8522

Hyperostosis of skull, upper arm

M8523

Hyperostosis of skull, forearm

M8524

Hyperostosis of skull, hand

M8525

Hyperostosis of skull, pelvic region and thigh

M8526

Hyperostosis of skull, lower leg

M8527

Hyperostosis of skull, ankle and foot

M8528

Hyperostosis of skull, other

M8529

Hyperostosis of skull, site unspecified

M853

Osteitis condensans

M8530

Osteitis condensans, multiple sites

M8531

Osteitis condensans, shoulder region

M8532

Osteitis condensans, upper arm

M8533

Osteitis condensans, forearm

M8534

Osteitis condensans, hand

M8535

Osteitis condensans, pelvic and thigh

M8536

Osteitis condensans, lower leg

M8537

Osteitis condensans, ankle and foot

M8538

Osteitis condensans, other site

M8539

Osteitis condensans, site unspecified

M854

Solitary bone cyst

M8540

Solitary bone cyst, multiple sites

M8541

Solitary bone cyst, shoulder region

M8542

Solitary bone cyst, upper arm

M8543

Solitary bone cyst, forearm

M8544

Solitary bone cyst, hand

M8545

Solitary bone cyst, pelvic and thigh

M8546

Solitary bone cyst, lower leg

M8547

Solitary bone cyst, ankle and foot

M8548

Solitary bone cyst, other site

M8549

Solitary bone cyst, site unspecified

M855

Aneurysmal bone cyst

M8550

Aneurysmal bone cyst, multiple sites

M8551

Aneurysmal bone cyst, shoulder region

M8552

Aneurysmal bone cyst, upper arm

M8553

Aneurysmal bone cyst, forearm

M8554

Aneurysmal bone cyst, hand

M8555

Aneurysmal bone cyst, pelvic and thigh

M8556

Aneurysmal bone cyst, lower leg

M8557

Aneurysmal bone cyst, ankle and foot

M8558

Aneurysmal bone cyst, other site

-142-

Kode

Deskripsi

M8559

Aneurysmal bone cyst, site unspecified

M856

Other cyst of bone

M8560

Other cyst of bone, multiple sites

M8561

Other cyst of bone, shoulder region

M8562

Other cyst of bone, upper arm

M8563

Other cyst of bone, forearm

M8564

Other cyst of bone, hand

M8565

Other cyst of bone, pelvic and thigh

M8566

Other cyst of bone, lower leg

M8567

Other cyst of bone, ankle and foot

M8568

Other cyst of bone, other site

M8569

Other cyst of bone, site unspecified

M858

Other specified disorders of bone density and structure

M8580

Other specified disorders of bone density and structure, multiple sites

M8581

Other specified disorders of bone density and structure, shoulder region

M8582

Other specified disorders of bone density and structure, upper arm

M8583

Other specified disorders of bone density and structure, forearm

M8584

Other specified disorders of bone density and structure, hand

M8585

Other specified disorders of bone density and structure, pelvic and thigh

M8586

Other specified disorders of bone density and structure, lower leg

M8587

Other specified disorders of bone density and structure, ankle and foot

M8588

Other specified disorders of bone density and structure, other site

M8589

Other specified disorders of bone density and structure, site unspecified

M859

Disorder of bone density and structure, unspecified

M8590

Disorder of bone density and structure, unspecified, multiple sites

M8591

Disorder of bone density and structure, unspecified, shoulder region

M8592

Disorder of bone density and structure, unspecified, upper arm

M8593

Disorder of bone density and structure, unspecified, forearm

M8594

Disorder of bone density and structure, unspecified, hand

M8595

Disorder of bone density and structure, unspecified, pelvic and thigh

M8596

Disorder of bone density and structure, unspecified, lower leg

M8597

Disorder of bone density and structure, unspecified, ankle and foot

M8598

Disorder of bone density and structure, unspecified, other site

M8599

Disorder of bone density and structure, unspecified, site unspecified

M860

Acute haematogenous osteomyelitis

M8600

Acute haematogenous osteomyelitis, multiple sites

M8601

Acute haematogenous osteomyelitis, shoulder region

M8602

Acute haematogenous osteomyelitis, upper arm

M8603

Acute haematogenous osteomyelitis, forearm

M8604

Acute haematogenous osteomyelitis, hand

M8605

Acute haematogenous osteomyelitis, pelvic and thigh

M8606

Acute haematogenous osteomyelitis, lower leg

-143-

Kode

Deskripsi

M8607

Acute haematogenous osteomyelitis, ankle and foot

M8608

Acute haematogenous osteomyelitis, other site

M8609

Acute haematogenous osteomyelitis, site unspecified

M861

Other acute osteomyelitis

M8610

Other acute osteomyelitis, multiple sites

M8611

Other acute osteomyelitis, shoulder region

M8612

Other acute osteomyelitis, upper arm

M8613

Other acute osteomyelitis, forearm

M8614

Other acute osteomyelitis, hand

M8615

Other acute osteomyelitis, pelvic and thigh

M8616

Other acute osteomyelitis, lower leg

M8617

Other acute osteomyelitis, ankle and foot

M8618

Other acute osteomyelitis, other site

M8619

Other acute osteomyelitis, site unspecified

M862

Subacute osteomyelitis

M8620

Subacute osteomyelitis, multiple sites

M8621

Subacute osteomyelitis, shoulder region

M8622

Subacute osteomyelitis, upper arm

M8623

Subacute osteomyelitis, forearm

M8624

Subacute osteomyelitis, hand

M8625

Subacute osteomyelitis, pelvic and thigh

M8626

Subacute osteomyelitis, lower leg

M8627

Subacute osteomyelitis, ankle and foot

M8628

Subacute osteomyelitis, other site

M8629

Subacute osteomyelitis, site unspecified

M863

Chronic multifocal osteomyelitis

M8630

Chronic multifocal osteomyelitis, multiple sites

M8631

Chronic multifocal osteomyelitis, shoulder region

M8632

Chronic multifocal osteomyelitis, upper arm

M8633

Chronic multifocal osteomyelitis, forearm

M8634

Chronic multifocal osteomyelitis, hand

M8635

Chronic multifocal osteomyelitis, pelvic and thigh

M8636

Chronic multifocal osteomyelitis, lower leg

M8637

Chronic multifocal osteomyelitis, ankle and foot

M8638

Chronic multifocal osteomyelitis, other site

M8639

Chronic multifocal osteomyelitis, site unspecified

M864

Chronic osteomyelitis with draining sinus

M8640

Chronic osteomyelitis with draining sinus, multiple sites

M8641

Chronic osteomyelitis with draining sinus, shoulder region

M8642

Chronic osteomyelitis with draining sinus, upper arm

M8643

Chronic osteomyelitis with draining sinus, forearm

M8644

Chronic osteomyelitis with draining sinus, hand

-144-

Kode

Deskripsi

M8645

Chronic osteomyelitis with draining sinus, pelvic and thigh

M8646

Chronic osteomyelitis with draining sinus, lower leg

M8647

Chronic osteomyelitis with draining sinus, ankle and foot

M8648

Chronic osteomyelitis with draining sinus, other site

M8649

Chronic osteomyelitis with draining sinus, site unspecified

M865

Other chronic haematogenous osteomyelitis

M8650

Other chronic haematogenous osteomyelitis, multiple sites

M8651

Other chronic haematogenous osteomyelitis, shoulder region

M8652

Other chronic haematogenous osteomyelitis, upper arm

M8653

Other chronic haematogenous osteomyelitis, forearm

M8654

Other chronic haematogenous osteomyelitis, hand

M8655

Other chronic haematogenous osteomyelitis, pelvic and thigh

M8656

Other chronic haematogenous osteomyelitis, lower leg

M8657

Other chronic haematogenous osteomyelitis, ankle and foot

M8658

Other chronic haematogenous osteomyelitis, other site

M8659

Other chronic haematogenous osteomyelitis, site unspecified

M866

Other chronic osteomyelitis

M8660

Other chronic osteomyelitis, multiple sites

M8661

Other chronic osteomyelitis, shoulder region

M8662

Other chronic osteomyelitis, upper arm

M8663

Other chronic osteomyelitis, forearm

M8664

Other chronic osteomyelitis, hand

M8665

Other chronic osteomyelitis, pelvic and thigh

M8666

Other chronic osteomyelitis, lower leg

M8667

Other chronic osteomyelitis, ankle and foot

M8668

Other chronic osteomyelitis, other site

M8669

Other chronic osteomyelitis, site unspecified

M868

Other osteomyelitis

M8680

Other osteomyelitis, multiple sites

M8681

Other osteomyelitis, shoulder region

M8682

Other osteomyelitis, upper arm

M8683

Other osteomyelitis, forearm

M8684

Other osteomyelitis, hand

M8685

Other osteomyelitis, pelvic and thigh

M8686

Other osteomyelitis, lower leg

M8687

Other osteomyelitis, ankle and foot

M8688

Other osteomyelitis, other site

M8689

Other osteomyelitis, site unspecified

M869

Osteomyelitis, unspecified

M8690

Osteomyelitis, unspecified, multiple sites

M8691

Osteomyelitis, unspecified, shoulder region

M8692

Osteomyelitis, unspecified, upper arm

-145-

Kode

Deskripsi

M8693

Osteomyelitis, unspecified, forearm

M8694

Osteomyelitis, unspecified, hand

M8695

Osteomyelitis, unspecified, pelvic and thigh

M8696

Osteomyelitis, unspecified, lower leg

M8697

Osteomyelitis, unspecified, ankle and foot

M8698

Osteomyelitis, unspecified, other site

M8699

Osteomyelitis, unspecified, site unspecified

M870

Idiopathic aseptic necrosis of bone

M8700

Idiopathic aseptic necrosis of bone, multiple sites

M8701

Idiopathic aseptic necrosis of bone, shoulder region

M8702

Idiopathic aseptic necrosis of bone, upper arm

M8703

Idiopathic aseptic necrosis of bone, forearm

M8704

Idiopathic aseptic necrosis of bone, hand

M8705

Idiopathic aseptic necrosis of bone, pelvic and thigh

M8706

Idiopathic aseptic necrosis of bone, lower leg

M8707

Idiopathic aseptic necrosis of bone, ankle and foot

M8708

Idiopathic aseptic necrosis of bone, other site

M8709

Idiopathic aseptic necrosis of bone, site unspecified

M871

Osteonecrosis due to drugs

M8710

Osteonecrosis due to drugs, multiple sites

M8711

Osteonecrosis due to drugs, shoulder region

M8712

Osteonecrosis due to drugs, upper arm

M8713

Osteonecrosis due to drugs, forearm

M8714

Osteonecrosis due to drugs, hand

M8715

Osteonecrosis due to drugs, pelvic and thigh

M8716

Osteonecrosis due to drugs, lower leg

M8717

Osteonecrosis due to drugs, ankle and foot

M8718

Osteonecrosis due to drugs, other site

M8719

Osteonecrosis due to drugs, site unspecified

M872

Osteonecrosis due to previous trauma

M8720

Osteonecrosis due to previous trauma, multiple sites

M8721

Osteonecrosis due to previous trauma, shoulder region

M8722

Osteonecrosis due to previous trauma, upper arm

M8723

Osteonecrosis due to previous trauma, forearm

M8724

Osteonecrosis due to previous trauma, hand

M8725

Osteonecrosis due to previous trauma, pelvic and thigh

M8726

Osteonecrosis due to previous trauma, lower leg

M8727

Osteonecrosis due to previous trauma, ankle and foot

M8728

Osteonecrosis due to previous trauma, other site

M8729

Osteonecrosis due to previous trauma, site unspecified

M873

Other secondary osteonecrosis

M8730

Other secondary osteonecrosis, multiple sites

-146-

Kode

Deskripsi

M8731

Other secondary osteonecrosis, shoulder region

M8732

Other secondary osteonecrosis, upper arm

M8733

Other secondary osteonecrosis, forearm

M8734

Other secondary osteonecrosis, hand

M8735

Other secondary osteonecrosis, pelvic and thigh

M8736

Other secondary osteonecrosis, lower leg

M8737

Other secondary osteonecrosis, ankle and foot

M8738

Other secondary osteonecrosis, other site

M8739

Other secondary osteonecrosis, site unspecified

M878

Other osteonecrosis

M8780

Other osteonecrosis, multiple sites

M8781

Other osteonecrosis, shoulder region

M8782

Other osteonecrosis, upper arm

M8783

Other osteonecrosis, forearm

M8784

Other osteonecrosis, hand

M8785

Other osteonecrosis, pelvic and thigh

M8786

Other osteonecrosis, lower leg

M8787

Other osteonecrosis, ankle and foot

M8788

Other osteonecrosis, other site

M8789

Other osteonecrosis, site unspecified

M879

Osteonecrosis, unspecified

M8790

Osteonecrosis, unspecified, multiple sites

M8791

Osteonecrosis, unspecified, shoulder region

M8792

Osteonecrosis, unspecified, upper arm

M8793

Osteonecrosis, unspecified, forearm

M8794

Osteonecrosis, unspecified, hand

M8795

Osteonecrosis, unspecified, pelvic and thigh

M8796

Osteonecrosis, unspecified, lower leg

M8797

Osteonecrosis, unspecified, ankle and foot

M8798

Osteonecrosis, unspecified, other site

M8799

Osteonecrosis, unspecified, site unspecified

M880

Paget's disease of skull

M8809

Paget's disease of skull, site unspecified

M888

Paget's disease of other bones

M8880

Paget's disease of other bones, multiple sites

M8881

Paget's disease of other bones, shoulder region

M8882

Paget's disease of other bones, upper arm

M8883

Paget's disease of other bones, forearm

M8884

Paget's disease of other bones, hand

M8885

Paget's disease of other bones, pelvic and thigh

M8886

Paget's disease of other bones, lower leg

M8887

Paget's disease of other bones, ankle and foot

-147-

Kode

Deskripsi

M8888

Paget's disease of other bones, other site

M8889

Paget's disease of other bones, site unspecified

M889

Paget's disease of bone, unspecified

M8890

Paget's disease of bone, unspecified, multiple sites

M8891

Paget's disease of bone, unspecified, shoulder region

M8892

Paget's disease of bone, unspecified, upper arm

M8893

Paget's disease of bone, unspecified, forearm

M8894

Paget's disease of bone, unspecified, hand

M8895

Paget's disease of bone, unspecified, pelvic and thigh

M8896

Paget's disease of bone, unspecified, lower leg

M8897

Paget's disease of bone, unspecified, ankle and foot

M8898

Paget's disease of bone, unspecified, other site

M8899

Paget's disease of bone, unspecified, site unspecified

M890

Algoneurodystrophy

M8900

Algoneurodystrophy, multiple sites

M8901

Algoneurodystrophy, shoulder region

M8902

Algoneurodystrophy, upper arm

M8903

Algoneurodystrophy, forearm

M8904

Algoneurodystrophy, hand

M8905

Algoneurodystrophy, pelvic and thigh

M8906

Algoneurodystrophy, lower leg

M8907

Algoneurodystrophy, ankle and foot

M8908

Algoneurodystrophy, other site

M8909

Algoneurodystrophy, site unspecified

M891

Epiphyseal arrest

M8910

Epiphyseal arrest, multiple sites

M8911

Epiphyseal arrest, shoulder region

M8912

Epiphyseal arrest, upper arm

M8913

Epiphyseal arrest, forearm

M8914

Epiphyseal arrest, hand

M8915

Epiphyseal arrest, pelvic and thigh

M8916

Epiphyseal arrest, lower leg

M8917

Epiphyseal arrest, ankle and foot

M8918

Epiphyseal arrest, other site

M8919

Epiphyseal arrest, site unspecified

M892

Other disorders of bone development and growth

M8920

Other disorders of bone development and growth, multiple sites

M8921

Other disorders of bone development and growth, shoulder region

M8922

Other disorders of bone development and growth, upper arm

M8923

Other disorders of bone development and growth, forearm

M8924

Other disorders of bone development and growth, hand

M8925

Other disorders of bone development and growth, pelvic and thigh

-148-

Kode

Deskripsi

M8926

Other disorders of bone development and growth, lower leg

M8927

Other disorders of bone development and growth, ankle and foot

M8928

Other disorders of bone development and growth, other site

M8929

Other disorders of bone development and growth, site unspecified

M893

Hypertrophy of bone

M8930

Hypertrophy of bone, multiple sites

M8931

Hypertrophy of bone, shoulder region

M8932

Hypertrophy of bone, upper arm

M8933

Hypertrophy of bone, forearm

M8934

Hypertrophy of bone, hand

M8935

Hypertrophy of bone, pelvic and thigh

M8936

Hypertrophy of bone, lower leg

M8937

Hypertrophy of bone, ankle and foot

M8938

Hypertrophy of bone, other site

M8939

Hypertrophy of bone, site unspecified

M894

Other hypertrophic osteoarthropathy

M8940

Other hypertrophic osteoarthropathy, multiple sites

M8941

Other hypertrophic osteoarthropathy, shoulder region

M8942

Other hypertrophic osteoarthropathy, upper arm

M8943

Other hypertrophic osteoarthropathy, forearm

M8944

Other hypertrophic osteoarthropathy, hand

M8945

Other hypertrophic osteoarthropathy, pelvic and thigh

M8946

Other hypertrophic osteoarthropathy, lower leg

M8947

Other hypertrophic osteoarthropathy, ankle and foot

M8948

Other hypertrophic osteoarthropathy, other site

M8949

Other hypertrophic osteoarthropathy, site unspecified

M895

Osteolysis

M8950

Osteolysis, multiple sites

M8951

Osteolysis, shoulder region

M8952

Osteolysis, upper arm

M8953

Osteolysis, forearm

M8954

Osteolysis, hand

M8955

Osteolysis, pelvic and thigh

M8956

Osteolysis, lower leg

M8957

Osteolysis, ankle and foot

M8958

Osteolysis, other site

M8959

Osteolysis, site unspecified

M896

Osteopathy after poliomyelitis

M8960

Osteopathy after poliomyelitis, multiple sites

M8961

Osteopathy after poliomyelitis, shoulder region

M8962

Osteopathy after poliomyelitis, upper arm

M8963

Osteopathy after poliomyelitis, forearm

-149-

Kode

Deskripsi

M8964

Osteopathy after poliomyelitis, hand

M8965

Osteopathy after poliomyelitis, pelvic and thigh

M8966

Osteopathy after poliomyelitis, lower leg

M8967

Osteopathy after poliomyelitis, ankle and foot

M8968

Osteopathy after poliomyelitis, other site

M8969

Osteopathy after poliomyelitis, site unspecified

M898

Other specified disorders of bone

M8980

Other specified disorders of bone, multiple sites

M8981

Other specified disorders of bone, shoulder region

M8982

Other specified disorders of bone, upper arm

M8983

Other specified disorders of bone, forearm

M8984

Other specified disorders of bone, hand

M8985

Other specified disorders of bone, pelvic and thigh

M8986

Other specified disorders of bone, lower leg

M8987

Other specified disorders of bone, ankle and foot

M8988

Other specified disorders of bone, other site

M8989

Other specified disorders of bone, site unspecified

M899

Disorder of bone, unspecified

M8990

Disorder of bone, unspecified, multiple sites

M8991

Disorder of bone, unspecified, shoulder region

M8992

Disorder of bone, unspecified, upper arm

M8993

Disorder of bone, unspecified, forearm

M8994

Disorder of bone, unspecified, hand

M8995

Disorder of bone, unspecified, pelvic and thigh

M8996

Disorder of bone, unspecified, lower leg

M8997

Disorder of bone, unspecified, ankle and foot

M8998

Disorder of bone, unspecified, other site

M8999

Disorder of bone, unspecified, site unspecified

M900

Tuberculosis of bone

M9000

Tuberculosis of bone, multiple sites

M9001

Tuberculosis of bone, shoulder region

M9002

Tuberculosis of bone, upper arm

M9003

Tuberculosis of bone, forearm

M9004

Tuberculosis of bone, hand

M9005

Tuberculosis of bone, pelvic and thigh

M9006

Tuberculosis of bone, lower leg

M9007

Tuberculosis of bone, ankle and foot

M9008

Tuberculosis of bone, other site

M9009

Tuberculosis of bone, site unspecified

M901

Periostitis in other infectious diseases classified elsewhere

M9010

Periostitis in other infectious diseases classified elsewhere, multiple sites

M9011

Periostitis in other infectious diseases classified elsewhere, shoulder region

-150-

Kode

Deskripsi

M9012

Periostitis in other infectious diseases classified elsewhere, upper arm

M9013

Periostitis in other infectious diseases classified elsewhere, forearm

M9014

Periostitis in other infectious diseases classified elsewhere, hand

M9015

Periostitis in other infectious diseases classified elsewhere, pelvic and thigh

M9016

Periostitis in other infectious diseases classified elsewhere, lower leg

M9017

Periostitis in other infectious diseases classified elsewhere, ankle and foot

M9018

Periostitis in other infectious diseases classified elsewhere, other site

M9019

Periostitis in other infectious diseases classified elsewhere, site unspecified

M902

Osteopathy in other infectious diseases classified elsewhere

M9020

Osteopathy in other infectious diseases classified elsewhere, multiple sites

M9021

Osteopathy in other infectious diseases classified elsewhere, shoulder region

M9022

Osteopathy in other infectious diseases classified elsewhere, upper arm

M9023

Osteopathy in other infectious diseases classified elsewhere, forearm

M9024

Osteopathy in other infectious diseases classified elsewhere, hand

M9025

Osteopathy in other infectious diseases classified elsewhere, pelvic and thigh

M9026

Osteopathy in other infectious diseases classified elsewhere, lower leg

M9027

Osteopathy in other infectious diseases classified elsewhere, ankle and foot

M9028

Osteopathy in other infectious diseases classified elsewhere, other site

M9029

Osteopathy in other infectious diseases classified elsewhere, site unspecified

M903

Osteonecrosis in caisson disease

M9030

Osteonecrosis in caisson disease, multiple sites

M9031

Osteonecrosis in caisson disease, shoulder region

M9032

Osteonecrosis in caisson disease, upper arm

M9033

Osteonecrosis in caisson disease, forearm

M9034

Osteonecrosis in caisson disease, hand

M9035

Osteonecrosis in caisson disease, pelvic and thigh

M9036

Osteonecrosis in caisson disease, lower leg

M9037

Osteonecrosis in caisson disease, ankle and foot

M9038

Osteonecrosis in caisson disease, other site

M9039

Osteonecrosis in caisson disease, site unspecified

M904

Osteonecrosis due to haemoglobinopathy

M9040

Osteonecrosis due to haemoglobinopathy, multiple sites

M9041

Osteonecrosis due to haemoglobinopathy, shoulder region

M9042

Osteonecrosis due to haemoglobinopathy, upper arm

M9043

Osteonecrosis due to haemoglobinopathy, forearm

M9044

Osteonecrosis due to haemoglobinopathy, hand

M9045

Osteonecrosis due to haemoglobinopathy, pelvic and thigh

M9046

Osteonecrosis due to haemoglobinopathy, lower leg

M9047

Osteonecrosis due to haemoglobinopathy, ankle and foot

M9048

Osteonecrosis due to haemoglobinopathy, other site

M9049

Osteonecrosis due to haemoglobinopathy, site unspecified

M905

Osteonecrosis in other diseases classified elsewhere

-151-

Kode

Deskripsi

M9050

Osteonecrosis in other diseases classified elsewhere, multiple sites

M9051

Osteonecrosis in other diseases classified elsewhere, shoulder region

M9052

Osteonecrosis in other diseases classified elsewhere, upper arm

M9053

Osteonecrosis in other diseases classified elsewhere, forearm

M9054

Osteonecrosis in other diseases classified elsewhere, hand

M9055

Osteonecrosis in other diseases classified elsewhere, pelvic and thigh

M9056

Osteonecrosis in other diseases classified elsewhere, lower leg

M9057

Osteonecrosis in other diseases classified elsewhere, ankle and foot

M9058

Osteonecrosis in other diseases classified elsewhere, other site

M9059

Osteonecrosis in other diseases classified elsewhere, site unspecified

M906

Osteitis deformans in neoplastic disease

M9060

Osteitis deformans in neoplastic disease, multiple sites

M9061

Osteitis deformans in neoplastic disease, shoulder region

M9062

Osteitis deformans in neoplastic disease, upper arm

M9063

Osteitis deformans in neoplastic disease, forearm

M9064

Osteitis deformans in neoplastic disease, hand

M9065

Osteitis deformans in neoplastic disease, pelvic and thigh

M9066

Osteitis deformans in neoplastic disease, lower leg

M9067

Osteitis deformans in neoplastic disease, ankle and foot

M9068

Osteitis deformans in neoplastic disease, other site

M9069

Osteitis deformans in neoplastic disease, site unspecified

M907

Fracture of bone in neoplastic disease

M9070

Fracture of bone in neoplastic disease, multiple sites

M9071

Fracture of bone in neoplastic disease, shoulder region

M9072

Fracture of bone in neoplastic disease, upper arm

M9073

Fracture of bone in neoplastic disease, forearm

M9074

Fracture of bone in neoplastic disease, hand

M9075

Fracture of bone in neoplastic disease, pelvic and thigh

M9076

Fracture of bone in neoplastic disease, lower leg

M9077

Fracture of bone in neoplastic disease, ankle and foot

M9078

Fracture of bone in neoplastic disease, other site

M9079

Fracture of bone in neoplastic disease, site unspecified

M908

Osteopathy in other diseases classified elsewhere

M9080

Osteopathy in other diseases classified elsewhere, multiple sites

M9081

Osteopathy in other diseases classified elsewhere, shoulder region

M9082

Osteopathy in other diseases classified elsewhere, upper arm

M9083

Osteopathy in other diseases classified elsewhere, forearm

M9084

Osteopathy in other diseases classified elsewhere, hand

M9085

Osteopathy in other diseases classified elsewhere, pelvic and thigh

M9086

Osteopathy in other diseases classified elsewhere, lower leg

M9087

Osteopathy in other diseases classified elsewhere, ankle and foot

M9088

Osteopathy in other diseases classified elsewhere, other site

-152-

Kode

Deskripsi

M9089

Osteopathy in other diseases classified elsewhere, site unspecified

M910

Juvenile osteochondrosis of pelvis

M9100

Juvenile osteochondrosis of pelvis, multiple sites

M9101

Juvenile osteochondrosis of pelvis, shoulder region

M9102

Juvenile osteochondrosis of pelvis, upper arm

M9103

Juvenile osteochondrosis of pelvis, forearm

M9104

Juvenile osteochondrosis of pelvis, hand

M9105

Juvenile osteochondrosis of pelvis, pelvic region and thigh

M9106

Juvenile osteochondrosis of pelvis, lower leg

M9107

Juvenile osteochondrosis of pelvis, ankle and foot

M9108

Juvenile osteochondrosis of pelvis, other

M9109

Juvenile osteochondrosis of pelvis, site unspecified

M911

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes]

M9110

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], multiple sites

M9111

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], shoulder region

M9112

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], upper arm

M9113

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], forearm

M9114

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], hand

M9115

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], pelvic region and thigh

M9116

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], lower leg

M9117

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], ankle and foot

M9118

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], other

M9119

Juv osteochondrosis head of femur [legg-calvï‚¤ -perthes], site unspecified

M912

Coxa plana

M9120

Coxa plana, multiple sites

M9121

Coxa plana, shoulder region

M9122

Coxa plana, upper arm

M9123

Coxa plana, forearm

M9124

Coxa plana, hand

M9125

Coxa plana, pelvic region and thigh

M9126

Coxa plana, lower leg

M9127

Coxa plana, ankle and foot

M9128

Coxa plana, other

M9129

Coxa plana, site unspecified

M913

Pseudocoxalgia

M9130

Pseudocoxalgia, multiple sites

M9131

Pseudocoxalgia, shoulder region

M9132

Pseudocoxalgia, upper arm

M9133

Pseudocoxalgia, forearm

M9134

Pseudocoxalgia, hand

M9135

Pseudocoxalgia, pelvic region and thigh

M9136

Pseudocoxalgia, lower leg

-153-

Kode

Deskripsi

M9137

Pseudocoxalgia, ankle and foot

M9138

Pseudocoxalgia, other

M9139

Pseudocoxalgia, site unspecified

M918

Other juvenile osteochondrosis of hip and pelvis

M9180

Other juvenile osteochondrosis of hip and pelvis, multiple sites

M9181

Other juvenile osteochondrosis of hip and pelvis, shoulder region

M9182

Other juvenile osteochondrosis of hip and pelvis, upper arm

M9183

Other juvenile osteochondrosis of hip and pelvis, forearm

M9184

Other juvenile osteochondrosis of hip and pelvis, hand

M9185

Other juvenile osteochondrosis of hip and pelvis, pelvic region and thigh

M9186

Other juvenile osteochondrosis of hip and pelvis, lower leg

M9187

Other juvenile osteochondrosis of hip and pelvis, ankle and foot

M9188

Other juvenile osteochondrosis of hip and pelvis, other

M9189

Other juvenile osteochondrosis of hip and pelvis, site unspecified

M919

Juvenile osteochondrosis of hip and pelvis, unspecified

M9190

Juvenile osteochondrosis of hip and pelvis, unspecified, multiple sites

M9191

Juvenile osteochondrosis of hip and pelvis, unspecified, shoulder region

M9192

Juvenile osteochondrosis of hip and pelvis, unspecified, upper arm

M9193

Juvenile osteochondrosis of hip and pelvis, unspecified, forearm

M9194

Juvenile osteochondrosis of hip and pelvis, unspecified, hand

M9195

Juvenile osteochondrosis of hip and pelvis, unspecified, pelvic region and thigh

M9196

Juvenile osteochondrosis of hip and pelvis, unspecified, lower leg

M9197

Juvenile osteochondrosis of hip and pelvis, unspecified, ankle and foot

M9198

Juvenile osteochondrosis of hip and pelvis, unspecified, other

M9199

Juvenile osteochondrosis of hip and pelvis, unspecified, site unspecified

M920

Juvenile osteochondrosis of humerus

M9200

Juvenile osteochondrosis of humerus, multiple sites

M9201

Juvenile osteochondrosis of humerus, shoulder region

M9202

Juvenile osteochondrosis of humerus, upper arm

M9203

Juvenile osteochondrosis of humerus, forearm

M9204

Juvenile osteochondrosis of humerus, hand

M9205

Juvenile osteochondrosis of humerus, pelvic region and thigh

M9206

Juvenile osteochondrosis of humerus, lower leg

M9207

Juvenile osteochondrosis of humerus, ankle and foot

M9208

Juvenile osteochondrosis of humerus, other

M9209

Juvenile osteochondrosis of humerus, site unspecified

M921

Juvenile osteochondrosis of radius and ulna

M9210

Juvenile osteochondrosis of radius and ulna, multiple sites

M9211

Juvenile osteochondrosis of radius and ulna, shoulder region

M9212

Juvenile osteochondrosis of radius and ulna, upper arm

M9213

Juvenile osteochondrosis of radius and ulna, forearm

M9214

Juvenile osteochondrosis of radius and ulna, hand

-154-

Kode

Deskripsi

M9215

Juvenile osteochondrosis of radius and ulna, pelvic region and thigh

M9216

Juvenile osteochondrosis of radius and ulna, lower leg

M9217

Juvenile osteochondrosis of radius and ulna, ankle and foot

M9218

Juvenile osteochondrosis of radius and ulna, other

M9219

Juvenile osteochondrosis of radius and ulna, site unspecified

M922

Juvenile osteochondrosis of hand

M9220

Juvenile osteochondrosis of hand, multiple sites

M9221

Juvenile osteochondrosis of hand, shoulder region

M9222

Juvenile osteochondrosis of hand, upper arm

M9223

Juvenile osteochondrosis of hand, forearm

M9224

Juvenile osteochondrosis of hand, hand

M9225

Juvenile osteochondrosis of hand, pelvic region and thigh

M9226

Juvenile osteochondrosis of hand, lower leg

M9227

Juvenile osteochondrosis of hand, ankle and foot

M9228

Juvenile osteochondrosis of hand, other

M9229

Juvenile osteochondrosis of hand, site unspecified

M923

Other juvenile osteochondrosis of upper limb

M9230

Other juvenile osteochondrosis of upper limb, multiple sites

M9231

Other juvenile osteochondrosis of upper limb, shoulder region

M9232

Other juvenile osteochondrosis of upper limb, upper arm

M9233

Other juvenile osteochondrosis of upper limb, forearm

M9234

Other juvenile osteochondrosis of upper limb, hand

M9235

Other juvenile osteochondrosis of upper limb, pelvic region and thigh

M9236

Other juvenile osteochondrosis of upper limb, lower leg

M9237

Other juvenile osteochondrosis of upper limb, ankle and foot

M9238

Other juvenile osteochondrosis of upper limb, other

M9239

Other juvenile osteochondrosis of upper limb, site unspecified

M924

Juvenile osteochondrosis of patella

M9240

Juvenile osteochondrosis of patella, multiple sites

M9241

Juvenile osteochondrosis of patella, shoulder region

M9242

Juvenile osteochondrosis of patella, upper arm

M9243

Juvenile osteochondrosis of patella, forearm

M9244

Juvenile osteochondrosis of patella, hand

M9245

Juvenile osteochondrosis of patella, pelvic region and thigh

M9246

Juvenile osteochondrosis of patella, lower leg

M9247

Juvenile osteochondrosis of patella, ankle and foot

M9248

Juvenile osteochondrosis of patella, other

M9249

Juvenile osteochondrosis of patella, site unspecified

M925

Juvenile osteochondrosis of tibia and fibula

M9250

Juvenile osteochondrosis of tibia and fibula, multiple sites

M9251

Juvenile osteochondrosis of tibia and fibula, shoulder region

M9252

Juvenile osteochondrosis of tibia and fibula, upper arm

-155-

Kode

Deskripsi

M9253

Juvenile osteochondrosis of tibia and fibula, forearm

M9254

Juvenile osteochondrosis of tibia and fibula, hand

M9255

Juvenile osteochondrosis of tibia and fibula, pelvic region and thigh

M9256

Juvenile osteochondrosis of tibia and fibula, lower leg

M9257

Juvenile osteochondrosis of tibia and fibula, ankle and foot

M9258

Juvenile osteochondrosis of tibia and fibula, other

M9259

Juvenile osteochondrosis of tibia and fibula, site unspecified

M926

Juvenile osteochondrosis of tarsus

M9260

Juvenile osteochondrosis of tarsus, multiple sites

M9261

Juvenile osteochondrosis of tarsus, shoulder region

M9262

Juvenile osteochondrosis of tarsus, upper arm

M9263

Juvenile osteochondrosis of tarsus, forearm

M9264

Juvenile osteochondrosis of tarsus, hand

M9265

Juvenile osteochondrosis of tarsus, pelvic region and thigh

M9266

Juvenile osteochondrosis of tarsus, lower leg

M9267

Juvenile osteochondrosis of tarsus, ankle and foot

M9268

Juvenile osteochondrosis of tarsus, other

M9269

Juvenile osteochondrosis of tarsus, site unspecified

M927

Juvenile osteochondrosis of metatarsus

M9270

Juvenile osteochondrosis of metatarsus, multiple sites

M9271

Juvenile osteochondrosis of metatarsus, shoulder region

M9272

Juvenile osteochondrosis of metatarsus, upper arm

M9273

Juvenile osteochondrosis of metatarsus, forearm

M9274

Juvenile osteochondrosis of metatarsus, hand

M9275

Juvenile osteochondrosis of metatarsus, pelvic region and thigh

M9276

Juvenile osteochondrosis of metatarsus, lower leg

M9277

Juvenile osteochondrosis of metatarsus, ankle and foot

M9278

Juvenile osteochondrosis of metatarsus, other

M9279

Juvenile osteochondrosis of metatarsus, site unspecified

M928

Other specified juvenile osteochondrosis

M9280

Other specified juvenile osteochondrosis, multiple sites

M9281

Other specified juvenile osteochondrosis, shoulder region

M9282

Other specified juvenile osteochondrosis, upper arm

M9283

Other specified juvenile osteochondrosis, forearm

M9284

Other specified juvenile osteochondrosis, hand

M9285

Other specified juvenile osteochondrosis, pelvic region and thigh

M9286

Other specified juvenile osteochondrosis, lower leg

M9287

Other specified juvenile osteochondrosis, ankle and foot

M9288

Other specified juvenile osteochondrosis, other

M9289

Other specified juvenile osteochondrosis, site unspecified

M929

Juvenile osteochondrosis, unspecified

M9290

Juvenile osteochondrosis, unspecified, multiple sites

-156-

Kode

Deskripsi

M9291

Juvenile osteochondrosis, unspecified, shoulder region

M9292

Juvenile osteochondrosis, unspecified, upper arm

M9293

Juvenile osteochondrosis, unspecified, forearm

M9294

Juvenile osteochondrosis, unspecified, hand

M9295

Juvenile osteochondrosis, unspecified, pelvic region and thigh

M9296

Juvenile osteochondrosis, unspecified, lower leg

M9297

Juvenile osteochondrosis, unspecified, ankle and foot

M9298

Juvenile osteochondrosis, unspecified, other

M9299

Juvenile osteochondrosis, unspecified, site unspecified

M930

Slipped upper femoral epiphysis (nontraumatic)

M9300

Slipped upper femoral epiphysis (nontraumatic), multiple sites

M9301

Slipped upper femoral epiphysis (nontraumatic), shoulder region

M9302

Slipped upper femoral epiphysis (nontraumatic), upper arm

M9303

Slipped upper femoral epiphysis (nontraumatic), forearm

M9304

Slipped upper femoral epiphysis (nontraumatic), hand

M9305

Slipped upper femoral epiphysis (nontraumatic), pelvic region and thigh

M9306

Slipped upper femoral epiphysis (nontraumatic), lower leg

M9307

Slipped upper femoral epiphysis (nontraumatic), ankle and foot

M9308

Slipped upper femoral epiphysis (nontraumatic), other

M9309

Slipped upper femoral epiphysis (nontraumatic), site unspecified

M931

KienbÂ³ck's disease of adults

M9310

KienbÂ³ck's disease of adults, multiple sites

M9311

KienbÂ³ck's disease of adults, shoulder region

M9312

KienbÂ³ck's disease of adults, upper arm

M9313

KienbÂ³ck's disease of adults, forearm

M9314

KienbÂ³ck's disease of adults, hand

M9315

KienbÂ³ck's disease of adults, pelvic region and thigh

M9316

KienbÂ³ck's disease of adults, lower leg

M9317

KienbÂ³ck's disease of adults, ankle and foot

M9318

KienbÂ³ck's disease of adults, other

M9319

KienbÂ³ck's disease of adults, site unspecified

M932

Osteochondritis dissecans

M9320

Osteochondritis dissecans, multiple sites

M9321

Osteochondritis dissecans, shoulder region

M9322

Osteochondritis dissecans, upper arm

M9323

Osteochondritis dissecans, forearm

M9324

Osteochondritis dissecans, hand

M9325

Osteochondritis dissecans, pelvic region and thigh

M9326

Osteochondritis dissecans, lower leg

M9327

Osteochondritis dissecans, ankle and foot

M9328

Osteochondritis dissecans, other

M9329

Osteochondritis dissecans, site unspecified

-157-

Kode

Deskripsi

M938

Other specified osteochondropathies

M9380

Other specified osteochondropathies, multiple sites

M9381

Other specified osteochondropathies, shoulder region

M9382

Other specified osteochondropathies, upper arm

M9383

Other specified osteochondropathies, forearm

M9384

Other specified osteochondropathies, hand

M9385

Other specified osteochondropathies, pelvic region and thigh

M9386

Other specified osteochondropathies, lower leg

M9387

Other specified osteochondropathies, ankle and foot

M9388

Other specified osteochondropathies, other

M9389

Other specified osteochondropathies, site unspecified

M939

Osteochondropathy, unspecified

M9390

Osteochondropathy, unspecified, multiple sites

M9391

Osteochondropathy, unspecified, shoulder region

M9392

Osteochondropathy, unspecified, upper arm

M9393

Osteochondropathy, unspecified, forearm

M9394

Osteochondropathy, unspecified, hand

M9395

Osteochondropathy, unspecified, pelvic region and thigh

M9396

Osteochondropathy, unspecified, lower leg

M9397

Osteochondropathy, unspecified, ankle and foot

M9398

Osteochondropathy, unspecified, other

M9399

Osteochondropathy, unspecified, site unspecified

M940

Chondrocostal junction syndrome [tietze]

M9400

Chondrocostal junction syndrome [tietze], multiple sites

M9401

Chondrocostal junction syndrome [tietze], shoulder region

M9402

Chondrocostal junction syndrome [tietze], upper arm

M9403

Chondrocostal junction syndrome [tietze], forearm

M9404

Chondrocostal junction syndrome [tietze], hand

M9405

Chondrocostal junction syndrome [tietze], pelvic region and thigh

M9406

Chondrocostal junction syndrome [tietze], lower leg

M9407

Chondrocostal junction syndrome [tietze], ankle and foot

M9408

Chondrocostal junction syndrome [tietze], other

M9409

Chondrocostal junction syndrome [tietze], site unspecified

M941

Relapsing polychondritis

M9410

Relapsing polychondritis, multiple sites

M9411

Relapsing polychondritis, shoulder region

M9412

Relapsing polychondritis, upper arm

M9413

Relapsing polychondritis, forearm

M9414

Relapsing polychondritis, hand

M9415

Relapsing polychondritis, pelvic and thigh

M9416

Relapsing polychondritis, lower leg

M9417

Relapsing polychondritis, ankle and foot

-158-

Kode

Deskripsi

M9418

Relapsing polychondritis, other site

M9419

Relapsing polychondritis, site unspecified

M942

Chondromalacia

M9420

Chondromalacia, multiple sites

M9421

Chondromalacia, shoulder region

M9422

Chondromalacia, upper arm

M9423

Chondromalacia, forearm

M9424

Chondromalacia, hand

M9425

Chondromalacia, pelvic and thigh

M9426

Chondromalacia, lower leg

M9427

Chondromalacia, ankle and foot

M9428

Chondromalacia, other site

M9429

Chondromalacia, site unspecified

M943

Chondrolysis

M9430

Chondrolysis, multiple sites

M9431

Chondrolysis, shoulder region

M9432

Chondrolysis, upper arm

M9433

Chondrolysis, forearm

M9434

Chondrolysis, hand

M9435

Chondrolysis, pelvic and thigh

M9436

Chondrolysis, lower leg

M9437

Chondrolysis, ankle and foot

M9438

Chondrolysis, other site

M9439

Chondrolysis, site unspecified

M948

Other specified disorders of cartilage

M9480

Other specified disorders of cartilage, multiple sites

M9481

Other specified disorders of cartilage, shoulder region

M9482

Other specified disorders of cartilage, upper arm

M9483

Other specified disorders of cartilage, forearm

M9484

Other specified disorders of cartilage, hand

M9485

Other specified disorders of cartilage, pelvic and thigh

M9486

Other specified disorders of cartilage, lower leg

M9487

Other specified disorders of cartilage, ankle and foot

M9488

Other specified disorders of cartilage, other site

M9489

Other specified disorders of cartilage, site unspecified

M949

Disorder of cartilage, unspecified

M9490

Disorder of cartilage, unspecified, multiple sites

M9491

Disorder of cartilage, unspecified, shoulder region

M9492

Disorder of cartilage, unspecified, upper arm

M9493

Disorder of cartilage, unspecified, forearm

M9494

Disorder of cartilage, unspecified, hand

M9495

Disorder of cartilage, unspecified, pelvic and thigh

-159-

Kode

Deskripsi

M9496

Disorder of cartilage, unspecified, lower leg

M9497

Disorder of cartilage, unspecified, ankle and foot

M9498

Disorder of cartilage, unspecified, other site

M9499

Disorder of cartilage, unspecified, site unspecified

M950


M951

Cauliflower ear

M952

Other acquired deformity of head

M953

Acquired deformity of neck

M954

Acquired deformity of chest and rib

M955

Acquired deformity of pelvis

M958

Other specified acquired deformities of musculoskel sys

M959

Acquired deformity of musculoskeletal system, unspecified

M960

Pseudarthrosis after fusion or arthrodesis

M961

Postlaminectomy syndrome, not elsewhere classified

M962

Postradiation kyphosis

M963

Postlaminectomy kyphosis

M964

Postsurgical lordosis

M965

Postradiation scoliosis

M966

Fract bone fllg ins orthopae implt jnt prosthesis and bone plate

M968

Other postprocedural musculoskeletal disorders

M969

Postprocedural musculoskeletal disorder, unspecified

M990

Segmental and somatic dysfunction

M9900

Segmental and somatic dysfunction, head region

M9901

Segmental and somatic dysfunction, cervical region

M9902

Segmental and somatic dysfunction , thoracic region

M9903

Segmental and somatic dysfunction , lumbar region

M9904

Segmental and somatic dysfunction , sacral region

M9905

Segmental and somatic dysfunction , pelvic region

M9906

Segmental and somatic dysfunction , lower extremity

M9907

Segmental and somatic dysfunction, upper extremity

M9908

Segmental and somatic dysfunction, rib region

M9909

Segmental and somatic dysfunction, abdomen region

M991

Subluxation complex (vertebral)

M9910

Subluxation complex (vertebral), head region

M9911

Subluxation complex (vertebral), cervical region

M9912

Subluxation complex (vertebral), thoracic region

M9913

Subluxation complex (vertebral), lumbar region

M9914

Subluxation complex (vertebral) , sacral region

M9915

Subluxation complex (vertebral), pelvic region

M9916

Subluxation complex (vertebral), lower extremity

M9917

Subluxation complex (vertebral), upper extremity

M9918

Subluxation complex (vertebral), rib cage

-160-

Kode

Deskripsi

M9919

Subluxation complex (vertebral), abdomen and other

M992

Subluxation stenosis of neural canal

M9920

Subluxation stenosis of neural canal, head region

M9921

Subluxation stenosis of neural canal, cervical region

M9922

Subluxation stenosis of neural canal, thoracic region

M9923

Subluxation stenosis of neural canal , lumbar region

M9924

Subluxation stenosis of neural canal , sacral region

M9925

Subluxation stenosis of neural canal , pelvic region

M9926

Subluxation stenosis of neural canal , lower extremity

M9927

Subluxation stenosis of neural canal, upper extremity

M9928

Subluxation stenosis of neural canal, rib cage

M9929

Subluxation stenosis of neural canal, abdomen and other

M993

Osseous stenosis of neural canal

M9930

Osseous stenosis of neural canal, head region

M9931

Osseous stenosis of neural canal, cervical region

M9932

Osseous stenosis of neural canal , thoracic region

M9933

Osseous stenosis of neural canal, lumbar region

M9934

Osseous stenosis of neural canal , sacral region

M9935

Osseous stenosis of neural canal , pelvic region

M9936

Osseous stenosis of neural canal , lower extremity

M9937

Osseous stenosis of neural canal, upper extremity

M9938

Osseous stenosis of neural canal, rib cage

M9939

Osseous stenosis of neural canal, abdomen and other

M994

Connective tissue stenosis of neural canal

M9940

Connective tissue stenosis of neural canal, head region

M9941

Connective tissue stenosis of neural canal, cervical region

M9942

Connective tissue stenosis of neural canal, thoracic region

M9943

Connective tissue stenosis of neural canal, lumbar region

M9944

Connective tissue stenosis of neural canal , sacral region

M9945

Connective tissue stenosis of neural canal , pelvic region

M9946

Connective tissue stenosis of neural canal , lower extremity

M9947

Connective tissue stenosis of neural canal, upper extremity

M9948

Connective tissue stenosis of neural canal, rib cage

M9949

Connective tissue stenosis of neural canal, abdomen and other

M995

Intervertebral disc stenosis of neural canal , pelvic region

M9950

Intervertebral disc stenosis of neural canal , pelvic region, head region

M9951

Intervertebral disc stenosis of neural canal , pelvic region, cervical region

M9952

Intervertebral disc stenosis of neural canal , pelvic region , thoracic region

M9953

Intervertebral disc stenosis of neural canal , pelvic region , lumbar region

M9954

Intervertebral disc stenosis of neural canal , pelvic region , sacral region

M9955

Intervertebral disc stenosis of neural canal , pelvic region , pelvic region

M9956

Intervertebral disc stenosis of neural canal , pelvic region , lower extremity

-161-

Kode

Deskripsi

M9957

Intervertebral disc stenosis of neural canal , pelvic region, upper extremity

M9958

Intervertebral disc stenosis of neural canal , pelvic region, rib cage

M9959

Intervertebral disc stenosis of neural canal , pelvic region, abdomen and other

M996

Osseous and subluxation stenosis of intervertebral foramina

M9960

Osseous and subluxation stenosis of intervertebral foramina, head region

M9961

Osseous and subluxation stenosis of intervertebral foramina, cervical region

M9962

Osseous and subluxation stenosis of intervertebral foramina , thoracic region

M9963

Osseous and subluxation stenosis of intervertebral foramina , lumbar region

M9964

Osseous and subluxation stenosis of intervertebral foramina , sacral region

M9965

Osseous and subluxation stenosis of intervertebral foramina , pelvic region

M9966

Osseous and subluxation stenosis of intervertebral foramina , lower extremity

M9967

Osseous and subluxation stenosis of intervertebral foramina, upper extremity

M9968

Osseous and subluxation stenosis of intervertebral foramina, rib cage

M9969

Osseous and subluxation stenosis of intervertebral foramina, abdomen and other

M997

Connective tis and disc stenosis of intervertebral foramina

M9970

Connective tis and disc stenosis of intervertebral foramina, head region

M9971

Connective tis and disc stenosis of intervertebral foramina, cervical region

M9972

Connective tis and disc stenosis of intervertebral foramina , thoracic region

M9973

Connective tis and disc stenosis of intervertebral foramina , lumbar region

M9974

Connective tis and disc stenosis of intervertebral foramina , sacral region

M9975

Connective tis and disc stenosis of intervertebral foramina , pelvic region

M9976

Connective tis and disc stenosis of intervertebral foramina , lower extremity

M9977

Connective tis and disc stenosis of intervertebral foramina, upper extremity

M9978

Connective tis and disc stenosis of intervertebral foramina, rib cage

M9979

Connective tis and disc stenosis of intervertebral foramina, abdomen and other

M998

Other biomechanical lesions

M9980

Other biomechanical lesions, head region

M9981

Other biomechanical lesions, cervical region

M9982

Other biomechanical lesions, thoracic region

M9983

Other biomechanical lesions. lumbar region

M9984

Other biomechanical lesions, sacral region

M9985

Other biomechanical lesions, pelvic region

M9986

Other biomechanical lesions, lower extremity

M9987

Other biomechanical lesions, upper extremity

M9988

Other biomechanical lesions, rib region

M9989

Other biomechanical lesions, abdomen region

M999

Biomechanical lesion, unspecified

M9990

Biomechanical lesion, unspecified, head region

M9991

Biomechanical lesion, unspecified, cervical region

M9992

Biomechanical lesion, unspecified, thoracic region

M9993

Biomechanical lesion, unspecified, lumbar region

M9994

Biomechanical lesion, unspecified, sacral region

-162-

Kode

Deskripsi

M9995

Biomechanical lesion, unspecified, pelvic region

M9996

Biomechanical lesion, unspecified, lower extremity

M9997

Biomechanical lesion, unspecified, upper extremity

M9998

Biomechanical lesion, unspecified, rib region

M9999

Biomechanical lesion, unspecified, abdomen region

Z440

Fitting and adjustment of artificial arm (complete)(partial)

Z441

Fitting and adjustment of artificial leg (complete)(partial)

Z467

Fitting and adjustment of orthopaedic device

Z470

Follow-up care involving removal of fracture plate and other internal fixation device

Z478

Other specified orthopaedic follow-up care

Z479

Orthopaedic follow-up care, unspecified

Z544

Convalescence following treatment of fracture

Z522

Bone donor

Z523

Z946

Bone marrow donor Family history of arthritis and other disease musculoskeletal system and connective tissue Bone transplant status

Z952

Presence of prosthetic heart valve

Z966

Presence of orthopaedic joint implants

Z967

Presence of other bone and tendon implants

A180

Tuberculosis of bones and joints

A544

Gonococcal infection of musculoskeletal system

A666

Bone and joint lesions of yaws

B453

Osseous cryptococcosis

B672

Echinococcus granulosus infection of bone

B902

Sequelae of tuberculosis of bones and joints

C400

Malignant neoplasm, scapula and long bones of upper limb

C401

Malignant neoplasm, short bones of upper limb

C402

Malignant neoplasm, long bones of lower limb

C403

Malignant neoplasm, short bones of lower limb

C408

Malignant neoplasm, overlapping lesion of bone and articular cartilage of limbs

C409

Malignant neoplasm, bone and articular cartilage of limb, unspecified

C410

Malignant neoplasm, bones of skull and face

C411

Malignant neoplasm, mandible

C412

Malignant neoplasm, vertebral column

C413

Malignant neoplasm, ribs, sternum and clavicle

C414

Malignant neoplasm, pelvic bones, sacrum and coccyx

C418

Malignant neoplasm, overlapping lesion of bone and articular cartilage

C419

Malignant neoplasm, bone and articular cartilage, unspecified

C470

Malignant neoplasm, peripheral nerves of head, face and neck

C471

Malignant neoplasm, peripheral nerves of upper limb, including shoulder

C472

Malignant neoplasm, peripheral nerves of lower limb, including hip

C473

Malignant neoplasm, peripheral nerves of thorax

Z826

-163-

Kode

Deskripsi

C474

Malignant neoplasm, peripheral nerves of abdomen

C475

Malignant neoplasm, peripheral nerves of pelvis

C476

Malignant neoplasm, peripheral nerves of trunk, unspecified

C478

Malignant neoplasm, overlapping lesion peripheral nerve/autonomic nervous syst

C479

Malignant neoplasm, peripheral nerves and autonomic nervous system, unspecified

C490

Malignant neoplasm, connective and soft tissue of head, face and neck

C491

Malignant neoplasm, connective and soft tissue of upper limb, including shoulder

C492

Malignant neoplasm, connective and soft tissue of lower limb, including hip

C493

Malignant neoplasm, connective and soft tissue of thorax

C494

Malignant neoplasm, connective and soft tissue of abdomen

C495

Malignant neoplasm, connective and soft tissue of pelvis

C496

Malignant neoplasm, connective and soft tissue of trunk, unspecified

C498

Malignant neoplasm, overlapping lesion of connective and soft tissue

C499

Malignant neoplasm, connective and soft tissue, unspecified

C795

Secondary malignant neoplasm of bone and bone marrow

D160

Benign neoplasm, scapula and long bones of upper limb

D161

Benign neoplasm, short bones of upper limb

D162

Benign neoplasm, long bones of lower limb

D163

Benign neoplasm, short bones of lower limb

D164

Benign neoplasm, bones of skull and face

D165

Benign neoplasm, lower jaw bone

D166

Benign neoplasm, vertebral column

D167


D168

Benign neoplasm, pelvic bones, sacrum and coccyx

D169

Benign neoplasm, bone and articular cartilage, unspecified

D197


D199


D210


D211

Benign neoplasm, connective and other soft tis of upper limb, inc shoulder

D212

Benign neoplasm, connective and other soft tissue of lower limb, inc hip

D213

Benign neoplasm, connective and other soft tissue of thorax

D214

Benign neoplasm, connective and other soft tissue of abdomen

D215

Benign neoplasm, connective and other soft tissue of pelvis

D216

Benign neoplasm, connective and other soft tissue of trunk, unspecified

D219

Benign neoplasm, connective and other soft tissue, unspecified

D361

Benign neoplasm, peripheral nerves and autonomic nervous system

D480

Neoplasms of uncertain or unknown behaviour of bone and articular cartilage

D481

E550

Neoplasms of uncertain or unknown behaviour of connective and other soft tissue Neoplasms of uncertain or unknown behaviour of peripheral nerves and autonomic nervous system Rickets, active

E643

Sequelae of rickets

E850

Non-neuropathic heredofamilial amyloidosis

D482

-164-

Kode

Deskripsi

E851

Neuropathic heredofamilial amyloidosis

E852

Heredofamilial amyloidosis, unspecified

E853

Secondary systemic amyloidosis

E854

Organ-limited amyloidosis

E858

Other amyloidosis

E859

Amyloidosis, unspecified

G551

Nerve root and plexus compressions in intravert disc disord

G552

Nerve root and plexus compressions in spondylosis

G553

Nerve root and plexus compressions in oth dorsopathies

G560

Carpal tunnel syndrome

G575

Tarsal tunnel syndrome

G600

Hereditary motor and sensory neuropathy

I00

Rheumatic fever without mention of heart involvement

I730

Raynaud's syndrome

I776

Arteritis, unspecified

I791

Aortitis in diseases classified elsewhere

L405

Arthropathic psoriasis

P130

Fracture of skull due to birth injury

P131

Other birth injuries to skull

P132

Birth injury to femur

P133

Birth injury to other long bones

P134

Fracture of clavicle due to birth injury

P138

Birth injuries to other parts of skeleton

P139

Birth injury to skeleton, unspecified

P152

Sternomastoid injury due to birth injury

P948

Other disorders of muscle tone of newborn

P949

Disorder of muscle tone of newborn, unspecified

Q650

Congenital dislocation of hip, unilateral

Q651

Congenital dislocation of hip, bilateral

Q652

Congenital dislocation of hip, unspecified

Q653

Congenital subluxation of hip, unilateral

Q654

Congenital subluxation of hip, bilateral

Q655

Congenital subluxation of hip, unspecified

Q656

Unstable hip

Q658

Other congenital deformities of hip

Q659

Congenital deformity of hip, unspecified

Q660

Talipes equinovarus

Q661

Talipes calcaneovarus

Q662

Metatarsus varus

Q663

Other congenital varus deformities of feet

Q664

Talipes calcaneovalgus

Q665

Congenital pes planus

-165-

Kode

Deskripsi

Q666

Other congenital valgus deformities of feet

Q667

Pes cavus

Q667

Pes cavus

Q668

Other congenital deformities of feet

Q669

Congenital deformity of feet, unspecified

Q670

Facial asymmetry

Q671

Compression facies

Q672

Dolichocephaly

Q673

Plagiocephaly

Q674

Other congenital deformities of skull, face and jaw

Q675

Congenital deformity of spine

Q680

Congenital deformity of sternocleidomastoid muscle

Q681

Congenital deformity of hand

Q682

Congenital deformity of knee

Q683

Congenital bowing of femur

Q684

Congenital bowing of tibia and fibula

Q685

Congenital bowing of long bones of leg, unspecified

Q688

Other specified congenital musculoskeletal deformities

Q690

Accessory finger(s)

Q691

Accessory thumb(s)

Q692

Accessory toe(s)

Q699

Polydactyly, unspecified

Q700

Fused fingers

Q701

Webbed fingers

Q702

Fused toes

Q703

Webbed toes

Q704

Polysyndactyly

Q709

Syndactyly, unspecified

Q710

Congenital complete absence of upper limb(s)

Q711

Cong absence of upper arm and forearm with hand present

Q712

Congenital absence of both forearm and hand

Q713

Congenital absence of hand and finger(s)

Q714

Longitudinal reduction defect of radius

Q715

Longitudinal reduction defect of ulna

Q716

Lobster-claw hand

Q718

Other reduction defects of upper limb(s)

Q719

Reduction defect of upper limb, unspecified

Q720

Congenital complete absence of lower limb(s)

Q721

Congenital absence of thigh and lower leg with foot present

Q722

Congenital absence of both lower leg and foot

Q723

Congenital absence of foot and toe(s)

Q724

Longitudinal reduction defect of femur

-166-

Kode

Deskripsi

Q725

Longitudinal reduction defect of tibia

Q726

Longitudinal reduction defect of fibula

Q727

Split foot

Q728

Other reduction defects of lower limb(s)

Q729

Reduction defect of lower limb, unspecified

Q730

Congenital absence of unspecified limb(s)

Q731

Phocomelia, unspecified limb(s)

Q738

Other reduction defects of unspecified limb(s)

Q740

Other congenital malformation of upper limb(s) including shoulder girdle

Q741

Congenital malformation of knee

Q742

Other congenital malformation of lower limb(s) including pelvic girdle

Q743

Arthrogryposis multiplex congenita

Q748

Other specified congenital malformations of limb(s)

Q749

Unspecified congenital malformation of limb(s)

Q750

Craniosynostosis

Q751

Craniofacial dysostosis

Q752

Hypertelorism

Q753

Macrocephaly

Q754

Mandibulofacial dysostosis

Q755

Oculomandibular dysostosis

Q758

Other specified congenital malformations of skull and face bones

Q759

Congenital malformation of skull and face bones, unspecified

Q760

Spina bifida occulta

Q761

Klippel-feil syndrome

Q762

Congenital spondylolisthesis

Q763

Congenital scoliosis due to congenital bony malformation

Q764

Other congenital malformation of spine not associated with scoliosis

Q765

Cervical rib

Q766

Other congenital malformations of ribs

Q767

Congenital malformation of sternum

Q768

Other congenital malformations of bony thorax

Q769

Congenital malformation of bony thorax, unspecified

Q770

Achondrogenesis

Q771

Thanatophoric short stature

Q772

Short rib syndrome

Q773

Chondrodysplasia punctata

Q774

Achondroplasia

Q775

Dystrophic dysplasia

Q776

Chondroectodermal dysplasia

Q777

Spondyloepiphyseal dysplasia

Q778

Other osteochondrodysplas with defect growth tubular bone spine

Q779

Osteochondrodyspl with defect growth tubular bones and spine, unspecified

-167-

Kode

Deskripsi

Q780

Osteogenesis imperfecta

Q781

Polyostotic fibrous dysplasia

Q782

Osteopetrosis

Q783

Progressive diaphyseal dysplasia

Q784

Enchondromatosis

Q785

Metaphyseal dysplasia

Q786

Multiple congenital exostoses

Q788

Other specified osteochondrodysplasias

Q789

Osteochondrodysplasia, unspecified

Q796

Ehlers-danlos syndrome

Q798

Other congenital malformations of musculoskeletal system

Q799

Congenital malformation of musculoskeletal system unspecified

Q870

Congenital malformation syndromes predominantly affect facial appearance

Q871

Congenital malformation syndromes predominantly associated with short stature

Q872

Congenital malformation syndromes predominantly involving limbs

Q873

Congenital malformation syndromes involving early overgrowth

R252

Cramp and spasm

R262

Difficulty in walking, not elsewhere classified

R294

Clicking hip

R762

False-positive serological test for syphilis

R936

Abnormal findings on diagnostic imaging of limbs

R937

Abnormal findings on diagnostic imaging of other parts of musculoskeletal system

S0270

Multiple fractures involving skull and facial bones, closed

S0271

Multiple fractures involving skull and facial bones, open

S0280

Fractures of other skull and facial bones, closed

S0281

Fractures of other skull and facial bones, open

S029

Fracture of skull and facial bones, part unspecified

S0290

Fracture of skull and facial bones, part unspecified, closed

S0291

Fracture of skull and facial bones, part unspecified, open

S035

Sprain and strain joints ligs other and unspec parts head

S091

Injury of muscle and tendon of head

S1200

Fracture of first cervical vertebra, closed

S1201

Fracture of first cervical vertebra, open

S1210

Fracture of second cervical vertebra, closed

S1211

Fracture of second cervical vertebra, open

S1220

Fracture of other specified cervical vertebra, closed

S1221

Fracture of other specified cervical vertebra, open

S1270

Multiple fractures of cervical spine, closed

S1271

Multiple fractures of cervical spine, open

S1290

Fracture of neck, part unspecified, closed

S1291

Fracture of neck, part unspecified, open

S130

Traumatic rupture of cervical intervertebral disc

-168-

Kode

Deskripsi

S131

Dislocation of cervical vertebra

S132

Dislocation of other and unspecified parts of neck

S133

Multiple dislocations of neck

S134

Sprain and strain of cervical spine

S135

Sprain and strain of thyroid region

S136

Sprain and strain of joints and ligaments of other and unspecified parts of neck

S16

Injury of muscle and tendon at neck level

S2200

Fracture of thoracic vertebra, closed

S2201

Fracture of thoracic vertebra, open

S2210

Multiple fractures of thoracic spine, closed

S2211

Multiple fractures of thoracic spine, open

S2230

Fracture of rib, closed

S2231

Fracture of rib, open

S230

Traumatic rupture of thoracic intervertebral disc

S231

Dislocation of thoracic vertebra

S232

Dislocation of other and unspecified parts of thorax

S233

Sprain and strain of thoracic spine

S234

Sprain and strain of ribs and sternum

S235

Sprain and strain of other and unspecified parts of thorax

S290

Injury of muscle and tendon at thorax level

S3200

Fracture of lumbar vertebra, closed

S3201

Fracture of lumbar vertebra, open

S3210

Fracture of sacrum, closed

S3211

Fracture of sacrum, open

S3220

Fracture of coccyx, closed

S3221

Fracture of coccyx, open

S3230

Fracture of ilium, closed

S3231

Fracture of ilium, open

S324

Fracture of acetabulum

S3240

Fracture of acetabulum, closed

S3241

Fracture of acetabulum, open

S3250

Fracture of pubis, closed

S3251

Fracture of pubis, open

S3270

Multiple fractures of lumbar spine and pelvis, closed

S3271

Multiple fractures of lumbar spine and pelvis, open

S3280

Fracture of other and unspecified parts of lumbar spine and pelvis, closed

S3281

Fracture of other and unspecified parts of lumbar spine and pelvis, open

S330

Traumatic rupture of lumbar intervertebral disc

S331

Dislocation of lumbar vertebra

S332

Dislocation of sacroiliac and sacrococcygeal joint

S333

Dislocation oth and unspec parts of lumbar spine and pelvis

S334

Traumatic rupture of symphysis pubis

-169-

Kode

Deskripsi

S335

Sprain and strain of lumbar spine

S336

Sprain and strain of sacroiliac joint

S337

Sprain and strain of other and unspec partsof lumbar spine pelvis

S390

Injury of muscle and tendon of abdomen lower back and pelvis

S4200

Fracture of clavicle, closed

S4201

Fracture of clavicle, open

S4210

Fracture of scapula, closed

S4211

Fracture of scapula, open

S4220

Fracture of upper end of humerus, closed

S4221

Fracture of upper end of humerus, open

S4230

Fracture of shaft of humerus, closed

S4231

Fracture of shaft of humerus, open

S4240

Fracture of lower end of humerus, closed

S4241

Fracture of lower end of humerus, open

S4270

Multiple fractures of clavicle, scapula and humerus, closed

S4271

Multiple fractures of clavicle, scapula and humerus, open

S4280

Fracture of other parts of shoulder and upper arm, closed

S4281

Fracture of other parts of shoulder and upper arm, open

S4290

Fracture of shoulder girdle, part unspecified, closed

S4291

Fracture of shoulder girdle, part unspecified, open

S430

Dislocation of shoulder joint

S431

Dislocation of acromioclavicular joint

S432

Dislocation of sternoclavicular joint

S433

Dislocation of other and unspec parts of shoulder girdle

S434

Sprain and strain of shoulder joint

S435

Sprain and strain of acromioclavicular joint

S436

Sprain and strain of sternoclavicular joint

S437

Sprain and strain of oth and unspec part of shoulder girdle

S460

Injury of tendon of the rotator cuff of shoulder

S461

Injury of muscle and tendon of long head of biceps

S462

Injury of muscle and tendon of other parts of biceps

S463

Injury of muscle and tendon of triceps

S467

Injury multiple muscles and tendons shoulder and upper arm level

S468

Injury of other muscles and tendons at shoulder and upper arm level

S469

Injury unspecified muscle and tendon at shoulder and upper arm level

S47

Crushing injury of shoulder and upper arm

S480

Traumatic amputation at shoulder joint

S481

Traumatic amputation at level between shoulder and elbow

S489

Traumatic amputation of shoulder and upper arm level unspecified

S497

Multiple injuries of shoulder and upper arm

S498

Other specified injuries of shoulder and upper arm

S499

Unspecified injury of shoulder and upper arm

-170-

Kode

Deskripsi

S5200

Fracture of upper end of ulna, closed

S5201

Fracture of upper end of ulna, open

S5210

Fracture of upper end of radius, closed

S5211

Fracture of upper end of radius, open

S5220

Fracture of shaft of ulna, closed

S5221

Fracture of shaft of ulna, open

S5230

Fracture of shaft of radius, closed

S5231

Fracture of shaft of radius, open

S5240

Fracture of shafts of both ulna and radius, closed

S5241

Fracture of shafts of both ulna and radius, open

S5250

Fracture of lower end of radius, closed

S5251

Fracture of lower end of radius, open

S5260

Fracture of lower end of both ulna and radius, closed

S5261

Fracture of lower end of both ulna and radius, open

S5270

Multiple fractures of forearm , closed

S5271

Multiple fractures of forearm , open

S5280

Fracture of other parts of forearm , closed

S5281

Fracture of other parts of forearm , open

S5290

Fracture of forearm, part unspecified , closed

S5291

Fracture of forearm, part unspecified , open

S530

Dislocation of radial head

S531

Dislocation of elbow, unspecified

S532

Traumatic rupture of radial collateral ligament

S533

Traumatic rupture of ulnar collateral ligament

S534

Sprain and strain of elbow

S560

Injury of flexor muscle and tendon of thumb at forearm level

S561

Injury long flexor muscle and tendon other finger(s) forearm level

S562

Injury of other flexor muscle and tendon at forearm level

S563

Injury extensor or abductor muscles and tendons of thumb at forearm level

S564

Injury extensor muscle and tendon oth finger(s) at forearm level

S565

Injury of other extensor muscle and tendon at forearm level

S567

Injury of multiple muscles and tendons at forearm level

S568

Injury other and unspecified muscles and tendons at forearm level

S570

Crushing injury of elbow

S578

Crushing injury of other parts of forearm

S579

Crushing injury of forearm, part unspecified

S580

Traumatic amputation at elbow level

S581

Traumatic amputation at level between elbow and wrist

S589

Traumatic amputation of forearm, level unspecified

S597

Multiple injuries of forearm

S598

Other specified injuries of forearm

S599

Unspecified injury of forearm

-171-

Kode

Deskripsi

S6200

Fracture of navicular [scaphoid] bone of hand , closed

S6201

Fracture of navicular [scaphoid] bone of hand , open

S6210

Fracture of other carpal bone(s) , closed

S6211

Fracture of other carpal bone(s) , open

S6220

Fracture of first metacarpal bone , closed

S6221

Fracture of first metacarpal bone , open

S6230

Fracture of other metacarpal bone, closed

S6231

Fracture of other metacarpal bone, open

S6240

Multiple fractures of metacarpal bones , closed

S6241

Multiple fractures of metacarpal bones , open

S6250

Fracture of thumb , closed

S6251

Fracture of thumb , open

S6260

Fracture of other finger , closed

S6261

Fracture of other finger , open

S6270

Multiple fractures of fingers, closed

S6271

Multiple fractures of fingers, open

S6280

Fracture of other and unspecified parts of wrist and hand, closed

S6281

Fracture of other and unspecified parts of wrist and hand, open

S630

Dislocation of wrist

S631

Dislocation of finger

S632

Multiple dislocations of fingers

S633

S635

Traumatic rupture of ligament of wrist and carpus Traumatic rupture of ligament of finger at metacarpophalangeal and interphalangeal joint(s) Sprain and strain of wrist

S636

Sprain and strain of finger(s)

S637

Sprain and strain of other and unspecified parts of hand

S660

Injury of long flexor muscle and tendon of thumb at wrist and hand level

S661

Injury of flexor muscle and tendon of other finger at wrist and hand level

S662

Injury of extensor muscle and tendon of thumb at wrist and hand level

S663

Injury of extensor muscle and tendon of other finger at wrist and hand level

S664

Injury of intrinsic muscle and tendon of thumb at wrist and hand level

S665

Injury of intrinsic muscle and tendon other finger at wrist and hand level

S666

Injury of multiple flexor muscles and tendons at wrist and hand level

S667

Injury of multiple extensor muscles and tendons at wrist and hand level

S668

Injury of other muscles and tendons at wrist and hand level

S669

Injury unspecified muscle and tendon at wrist and hand level

S680

Traumatic amputation of thumb (complete)(partial)

S681

Traumatic amputation of other single finger (complete)(partial)

S682

S684

Traumatic amputation two or more fingers alone (cmpte/part) Combination traumatic amputation of (part of) finger(s) with other parts wrist and hand Traumatic amputation of hand at wrist level

S688

Traumatic amputation of other parts of wrist and hand

S634

S683

-172-

Kode

Deskripsi

S689

Traumatic amputation of wrist and hand, level unspecified

S697

Multiple injuries of wrist and hand

S698

Other specified injuries of wrist and hand

S699

Unspecified injury of wrist and hand

S7200

Fracture of neck of femur, closed

S7201

Fracture of neck of femur, open

S7210

Pertrochanteric fracture, closed

S7211

Pertrochanteric fracture, open

S7220

Subtrochanteric fracture, closed

S7221

Subtrochanteric fracture, open

S7230

Fracture of shaft of femur, closed

S7231

Fracture of shaft of femur, open

S7240

Fracture of lower end of femur, closed

S7241

Fracture of lower end of femur, open

S7270

Multiple fractures of femur, closed

S7271

Multiple fractures of femur, open

S7280

Fractures of other parts of femur, closed

S7281

Fractures of other parts of femur, open

S7290

Fracture of femur, part unspecified, closed

S7291

Fracture of femur, part unspecified , open

S730

Dislocation of hip

S731

Sprain and strain of hip

S760

Injury of muscle and tendon of hip

S761

Injury of quadriceps muscle and tendon

S762

Injury of adductor muscle and tendon of thigh

S763

Injury of muscle and tendon of the posterior muscle group at thigh level

S764

Injury of other and unspec muscles and tendons at thigh level

S767

Injury of multiple muscles and tendons at hip & thigh level

S770

Crushing injury of hip

S771

Crushing injury of thigh

S772

Crushing injury of hip with thigh

S780

Traumatic amputation at hip joint

S781

Traumatic amputation at level between hip and knee

S789

Traumatic amputation of hip and thigh, level unspecified

S797

Multiple injuries of hip and thigh

S8200

Fracture of patella, closed

S8201

Fracture of patella, open

S8210

Fracture of upper end of tibia, closed

S8211

Fracture of upper end of tibia , open

S8220

Fracture of shaft of tibia, closed

S8221

Fracture of shaft of tibia , open

S8230

Fracture of lower end of tibia, closed

-173-

Kode

Deskripsi

S8231

Fracture of lower end of tibia , open

S8240

Fracture of fibula alone, closed

S8241

Fracture of fibula alone , open

S8250

Fracture of medial malleolus, closed

S8251

Fracture of medial malleolus , open

S8260

Fracture of lateral malleolus, closed

S8261

Fracture of lateral malleolus, open

S8270

Multiple fractures of lower leg, closed

S8271

Multiple fractures of lower leg, open

S8280

Fractures of other parts of lower leg, closed

S8281

Fractures of other parts of lower leg, open

S8290

Fracture of lower leg, part unspecified, closed

S8291

Fracture of lower leg, part unspecified , open

S830

Dislocation of patella

S831

Dislocation of knee

S832

Tear of meniscus, current

S833

Tear of articular cartilage of knee, current

S834

Sprain and strain involving (fibular)(tibial) collateral lig knee

S835

Sprain and strain involving (anterior)(posterior) cruciate lig knee

S836

Sprain and strain of other and unspecified parts of knee

S837

Injury to multiple structures of knee

S860

Injury of achilles tendon

S861

Injury other muscle(s) tendon(s) of posterior muscle group at low leg level

S862

Injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level

S863

Injury of muscle(s) and tendon(s) peroneal muscle group at lower leg level

S867

Injury of multiple muscles and tendons at lower leg level

S868

Injury of other muscles and tendons at lower leg level

S869

Injury of unspecified muscle and tendon at lower leg level

S870

Crushing injury of knee

S878

Crushing injury of other and unspecified parts of lower leg

S880

Traumatic amputation at knee level

S881

Traumatic amputation at level between knee and ankle

S889

Traumatic amputation of lower leg, level unspecified

S897

Multiple injuries of lower leg

S898

Other specified injuries of lower leg

S899

Unspecified injury of lower leg

S9200

Fracture of calcaneus, closed

S9201

Fracture of calcaneus , open

S9210

Fracture of talus, closed

S9211

Fracture of talus, open

S9220

Fracture of other tarsal bone(s) , closed

S9221

Fracture of other tarsal bone(s) , open

-174-

Kode

Deskripsi

S9230

Fracture of metatarsal bone, closed

S9231

Fracture of metatarsal bone , open

S9240

Fracture of great toe, closed

S9241

Fracture of great toe, open

S9250

Fracture of other toe, closed

S9251

Fracture of other toe, open

S9270

Multiple fractures of foot, closed

S9271

Multiple fractures of foot , open

S9290

Fracture of foot, unspecified, closed

S9291

Fracture of foot, unspecified , open

S930

Dislocation of ankle joint

S931

Dislocation of toe(s)

S932

Rupture of ligaments at ankle and foot level

S933

Dislocation of other and unspecified parts of foot

S934

Sprain and strain of ankle

S935

Sprain and strain of toe(s)

S936

Sprain and strain of other and unspecified parts of foot

S960

Injury muscle and tendon of long flexor muscle toe at ankle and foot level

S961

Injury muscle & tendon long extensor muscle toe at ankle and foot level

S962

Injury of intrinsic muscle and tendon at ankle and foot level

S967

Injury of multi muscles and tendons at ankle and foot level

S968

Injury of other muscles and tendons at ankle and foot level

S969

Injury of unspec muscle and tendon at ankle and foot level

S970

Crushing injury of ankle

S971

Crushing injury of toe(s)

S978

Crushing injury of other parts of ankle and foot

S980

Traumatic amputation of foot at ankle level

S981

Traumatic amputation of one toe

S982

Traumatic amputation of two or more toes

S983

Traumatic amputation of other parts of foot

S984

Traumatic amputation of foot, level unspecified

S997

Multiple injuries of ankle and foot

S998

Other specified injuries of ankle and foot

S999

Unspecified injury of ankle and foot

T0210

Fractures involving thorax with lower back and pelvis, closed

T0211

Fractures involving thorax with lower back and pelvis, open

T0220

Fractures involving multiple regions of one upper limb, closed

T0221

Fractures involving multiple regions of one upper limb, open

T0230

Fractures involving multiple regions of one lower limb, closed

T0231

Fractures involving multiple regions of one lower limb, open

T030

Dislocations, sprains and strains involving head with neck

T031

Dislocation sprains and strains involving thorax wth lower back and pelvis

-175-

Kode

Deskripsi

T032

Dislocation sprains and strains involving multiple regions upper limb(s)

T033

Dislocation sprains and strains involving multiple reginns lower limb(s)

T034

Dislocation sprains and strains involving multiple regions upper & lower limb(s)

T038

Dislocation sprains and strains involving other combinations body regions

T039

Multiple dislocations, sprains and strains, unspecified

T050

Traumatic amputation of both hands

T051

Traumatic amputation of one hand and other arm [any level, except hand]

T052

Traumatic amputation of both arms [any level]

T053

Traumatic amputation of both feet

T054

Traumatic amputation of one foot and other leg [any level except foot]

T055

Traumatic amputation of both legs [any level]

T056

Traumatic amputation of upper and lower limbs, any combination [any level]

T058

Traumatic amputations involving other combinations of body regions

T059

Multiple traumatic amputations, unspecified

T064

Injuries of muscles and tendons involving multiple body regions

T080

Fracture of spine, level unspecified , closed

T081

Fracture of spine, level unspecified , open

T092

Dislocation sprain and strain unspec joint and ligament trunk

T095

Injury of unspecified muscle and tendon of trunk

T100

Fracture of upper limb, level unspecified , closed

T101

Fracture of upper limb, level unspecified , open

T112

Disl'n sprain/strain unsp joint & ligament upr limb lvl unsp

T115

Injury of unspec muscle & tendon of upr limb level unspec act

T120

Fracture of lower limb, level unspecified, closed

T121

T135

Fracture of lower limb, level unspecified, open Dislocation sprain and strain unspecified joint and ligament of lower limb, level unspecified Injury of unspecified muscle & tendon of lower limb, level unspecified

T1420

Fracture of unspecified body region, closed

T1421

Fracture of unspecified body region, open

T143

Dislocation, sprain and strain of unspecified body region

T1460

Injury of muscles and tendons of unspecified body region, closed

T1461

Injury of muscles and tendons of unspecified body region, open

T796

Traumatic ischaemia of muscle

T840

Mechanical complication of internal joint prosthesis

T841

Mechanical complication of internal fixation device of bones of limb

T842

Mechanical complication of internal fixation device of other bones

T843

Mechanical complication other bone devices implants and grafts

T844

Mechanical complication of other internal orthopaedic devices, implants and grafts

T845

Infection and inflammatory reaction due to internal joint pros

T846

Infection and inflammatory reaction due internal fixation device [any site] Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts Other complications of internal orthopaedic prosthtic devices, implants & grafts

T132

T847 T848

-176-

Kode

Deskripsi

T849

Unspecified complication of internal othopaedic prosthetic device, implant & graft

T870

Complications of reattached (part of) upper extremity

T871

Complications of reattached (part of) lower extremity

T872

Complications of other reattached body part

T873

Neuroma of amputation stump

T874

Infection of amputation stump

T875

Necrosis of amputation stump

T876

Other and unspecified complications of amputation stump

T920

Sequelae of open wound of upper limb

T921

Sequelae of fracture of arm

T922

Sequelae of fracture at wrist and hand level

T923

Sequelae of dislocation, sprain and strain of upper limb

T924

Sequelae of injury of nerve of upper limb

T925

Sequelae of injury of muscle and tendon of upper limb

T926

Sequelae of crushing injury and traumatic amputation of upper limb

T928

Sequelae of other specified injuries of upper limb

T929

Sequelae of unspecified injury of upper limb

T931

Sequelae of fracture of femur

T932

Sequelae of other fractures of lower limb

T933

Sequelae of dislocation, sprain and strain of lower limb

T935

Sequelae of injury of muscle and tendon of lower limb

T936

Sequelae of crush injury and traumatic amputation of lower limb

T938

Sequelae of other specified injuries of lower limb

T939

Sequelae of unspecified injury of lower limb

G. Rumah Sakit Mata

Kode

Deskripsi

A185

Tuberculosis of eye

A503

Late congenital syphilitic oculopathy

A543

Gonococcal infection of eye

A710

Initial stage of trachoma

A711

Active stage of trachoma

A719

Trachoma, unspecified

A740

Chlamydial conjunctivitis

B005

Herpesviral ocular disease

B023

Zoster ocular disease

B300

Keratoconjunctivitis due to adenovirus

B301

Conjunctivitis due to adenovirus

-177-

Kode

Deskripsi

B302

Viral pharyngoconjunctivitis

B303

Acute epid haemorrhagic conjunctivitis (enteroviral)

B308

Other viral conjunctivitis

B309

Viral conjunctivitis, unspecified

B580

Toxoplasma oculopathy

B691

Cysticercosis of eye

B831

Gnathostomiasis

B940

Sequelae of trachoma

C431

Malignant melanoma of eyelid, including canthus

C441

Malignant neoplasm, skin of eyelid, including canthus

C690

Malignant neoplasm, conjunctiva

C691

Malignant neoplasm, cornea

C692

Malignant neoplasm, retina

C693

Malignant neoplasm, choroid

C694

Malignant neoplasm, ciliary body

C695

Malignant neoplasm, lacrimal gland and duct

C696

Malignant neoplasm, orbit

C698

Malignant neoplasm, overlapping lesion of eye and adnexa

C699

Malignant neoplasm, eye, unspecified

D031

Melanoma in situ of eyelid, including canthus

D041

Carcinoma in situ skin of eyelid, including canthus

D092

Carcinoma in situ of eye

D221

Melanocytic naevi of eyelid, including canthus

D231

Benign neoplasm, skin of eyelid, including canthus

D310

Benign neoplasm, conjunctiva

D311

Benign neoplasm, cornea

D312

Benign neoplasm, retina

D313

Benign neoplasm, choroid

D314

Benign neoplasm, ciliary body

D315

Benign neoplasm, lacrimal gland and duct

D316

Benign neoplasm, orbit, unspecified

D319

Benign neoplasm, eye, unspecified

E103

Insulin-dependent diabetes mellitus with ophthalmic complications

E113

Non-insulin-dependent diabetes mellitus with ophthalmic complications

E123

Malnutrition-related diabetes mellitus with ophthalmic complications

E133

Other specified diabetes mellitus with ophthalmic complications

E143

Unspecified diabetes mellitus with ophthalmic complications

E500

Vitamin A deficiency with conjunctival xerosis

E501

Vitamin A deficiency with bitot's spot and conjunctival xerosis

E502

Vitamin A deficiency with corneal xerosis

E503

Vitamin A deficiency with corneal ulceration and xerosis

E504

Vitamin A deficiency with keratomalacia

-178-

Kode

Deskripsi

E505

Vitamin A deficiency with night blindness

E506

Vitamin A deficiency with xerophthalmic scars of cornea

E507

Other ocular manifestations of vitamin A deficiency

G245

Blepharospasm

G453

Amaurosis fugax

H000

Hordeolum and other deep inflammation of eyelid

H001

Chalazion

H010

Blepharitis

H011

Noninfectious dermatoses of eyelid

H018

Other specified inflammation of eyelid

H019

Inflammation of eyelid, unspecified

H020

Entropion and trichiasis of eyelid

H021

Ectropion of eyelid

H022

Lagophthalmos

H023

Blepharochalasis

H024

Ptosis of eyelid

H025

Other disorders affecting eyelid function

H026

Xanthelasma of eyelid

H027

Other degenerative disorders of eyelid and periocular area

H028

Other specified disorders of eyelid

H029

Disorder of eyelid, unspecified

H030

Parasitic infestation of eyelid in diseases classified

H031

Involvement of eyelid in other infectious diseases classified elsewhere

H038

Involvement of eyelid in other diseases classified elsewhere

H040

Dacryoadenitis

H041

Other disorders of lacrimal gland

H042

Epiphora

H043

Acute and unspecified inflammation of lacrimal passages

H044

Chronic inflammation of lacrimal passages

H045

Stenosis and insufficiency of lacrimal passages

H046

Other changes in lacrimal passages

H048

Other disorders of lacrimal system

H049

Disorder of lacrimal system, unspecified

H050

Acute inflammation of orbit

H051

Chronic inflammatory disorders of orbit

H052

Exophthalmic conditions

H053

Deformity of orbit

H054

Enophthalmos

H055

Retained (old) foreign body folowing penetrating wound of orbit

H058

Other disorders of orbit

H059

Disorder of orbit, unspecified

H060

Disorders of lacrimal system in diseases classified elsewhere

-179-

Kode

Deskripsi

H061

Parasitic infestation of orbit in diseases classified elsewhere

H062

Dysthyroid exophthalmos

H063

Other disorders of orbit in diseases classified elsewhere

H100

Mucopurulent conjunctivitis

H101

Acute atopic conjunctivitis

H102

Other acute conjunctivitis

H103

Acute conjunctivitis, unspecified

H104

Chronic conjunctivitis

H105

Blepharoconjunctivitis

H108

Other conjunctivitis

H109

Conjunctivitis, unspecified

H110

Pterygium

H111

Conjunctival degenerations and deposits

H112

Conjunctival scars

H113

Conjunctival haemorrhage

H114

Other conjunctival vascular disorders and cysts

H118

Other specified disorders of conjunctiva

H119

Disorder of conjunctiva, unspecified

H130

Filarial infection of conjunctiva

H131

Conjunctivitis in infectious and parasitic diseases classified elsewhere

H132

Conjunctivitis in other diseases classified elsewhere

H133

Ocular pemphigoid

H138

Other disorders of conjunctiva in diseases classified elsewhere

H150

Scleritis

H151

Episcleritis

H158

Other disorders of sclera

H159

Disorder of sclera, unspecified

H160

Corneal ulcer

H161

Other superficial keratitis without conjunctivitis

H162

Keratoconjunctivitis

H163

Interstitial and deep keratitis

H164

Corneal neovascularization

H168

Other keratitis

H169

Keratitis, unspecified

H170

Adherent leukoma

H171

Other central corneal opacity

H178

Other corneal scars and opacities

H179

Corneal scar and opacity, unspecified

H180

Corneal pigmentations and deposits

H181

Bullous keratopathy

H182

Other corneal oedema

H183

Changes in corneal membranes

-180-

Kode

Deskripsi

H184

Corneal degeneration

H185

Hereditary corneal dystrophies

H186

Keratoconus

H187

Other corneal deformities

H188

Other specified disorders of cornea

H189

Disorder of cornea, unspecified

H190

Scleritis and episcleritis in diseases classified elsewhere

H191

H193

Herpesviral keratitis and keratoconjunctivitis Keratitis and keratoconjunctivitis in other infectious and parasitic disease classified elsewhere Keratitis and keratoconjunctivitis in other diseases classified elsewhere

H198

Other disorders of sclera and cornea in diseases classified elsewhere

H200

Acute and subacute iridocyclitis

H201

Chronic iridocyclitis

H202

Lens-induced iridocyclitis

H208

Other iridocyclitis

H209

Iridocyclitis, unspecified

H210

Hyphaema

H211

Other vascular disorders of iris and ciliary body

H212

Degeneration of iris and ciliary body

H213

Cyst of iris, ciliary body and anterior chamber

H214

Pupillary membranes

H215

Other adhesions and disruptions of iris and ciliary body

H218

Other specified disorders of iris and ciliary body

H219

Disorder of iris and ciliary body, unspecified

H220

Iridocyclitis in infectious and parasitic diseases classified elsewhere

H221

Iridocyclitis in other diseases classified elsewhere

H228

Other disorders of iris and ciliary body in diseases classified elsewhere

H250

Senile incipient cataract

H251

Senile nuclear cataract

H252

Senile cataract, morgagnian type

H258

Other senile cataract

H259

Senile cataract, unspecified

H260

Infantile, juvenile and presenile cataract

H261

Traumatic cataract

H262

Complicated cataract

H263

Drug-induced cataract

H264

After-cataract

H268

Other specified cataract

H269

Cataract, unspecified

H270

Aphakia

H271

Dislocation of lens

H278

Other specified disorders of lens

H192

-181-

Kode

Deskripsi

H279

Disorder of lens, unspecified

H280

Diabetic cataract (E10-E14 with common fourth character 3)

H281

Cataract in other endocrine, nutritional and metabolic diseases

H282

Cataract in other diseases classified elsewhere

H288

Other disorders of lens in diseases classified elsewhere

H300

Focal chorioretinal inflammation

H301

Disseminated chorioretinal inflammation

H302

Posterior cyclitis

H308

Other chorioretinal inflammations

H309

Chorioretinal inflammation, unspecified

H310

Chorioretinal scars

H311

Choroidal degeneration

H312

Hereditary choroidal dystrophy

H313

Choroidal haemorrhage and rupture

H314

Choroidal detachment

H318

Other specified disorders of choroid

H319

Disorder of choroid, unspecified

H320

Chorioretinal inflammation infectious and parasitic diseases classified elsewhere

H328

Other chorioretinal disorders in diseases classified elsewhere

H330

Retinal detachment with retinal break

H331

Retinoschisis and retinal cysts

H332

Serous retinal detachment

H333

Retinal breaks without detachment

H334

Traction detachment of retina

H335

Other retinal detachments

H340

Transient retinal artery occlusion

H341

Central retinal artery occlusion

H342

Other retinal artery occlusions

H348

Other retinal vascular occlusions

H349

Retinal vascular occlusion, unspecified

H350

Background retinopathy and retinal vascular changes

H351

Retinopathy of prematurity

H352

Other proliferative retinopathy

H353

Degeneration of macula and posterior pole

H354

Peripheral retinal degeneration

H355

Hereditary retinal dystrophy

H356

Retinal haemorrhage

H357

Separation of retinal layers

H358

Other specified retinal disorders

H359

Retinal disorder, unspecified

H36

Retinal disorders in diseases classified elsewhere

H360

Diabetic retinopathy (E10-E14 with common fourth character 3)

-182-

Kode

Deskripsi

H368

Other retinal disorders in diseases classified elsewhere

H400

Glaucoma suspect

H401

Primary open-angle glaucoma

H402

Primary angle-closure glaucoma

H403

Glaucoma secondary to eye trauma

H404

Glaucoma secondary to eye inflammation

H405

Glaucoma secondary to other eye disorders

H406

Glaucoma secondary to drugs

H408

Other glaucoma

H409

Glaucoma, unspecified

H420

Glaucoma in endocrine, nutritional and metabolic diseases

H428

Glaucoma in other diseases classified elsewhere

H430

Vitreous prolapse

H431

Vitreous haemorrhage

H432

Crystalline deposits in vitreous body

H433

Other vitreous opacities

H438

Other disorders of vitreous body

H439

Disorder of vitreous body, unspecified

H440

Purulent endophthalmitis

H441

Other endophthalmitis

H442

Degenerative myopia

H443

Other degenerative disorders of globe

H444

Hypotony of eye

H445

Degenerated conditions of globe

H446

Retained (old) intraocular foreign body, magnetic

H447

Retained (old) intraocular foreign body, nonmagnetic

H448

Other disorders of globe

H449

Disorder of globe, unspecified

H450

Vitreous haemorrhage in diseases classified elsewhere

H451

Endophthalmitis in diseases classified elsewhere

H458

Other disorders of vitreous body and globe in diseases classified elsewhere

H46

Optic neuritis

H470

Disorders of optic nerve, not elsewhere classified

H471

Papilloedema, unspecified

H472

Optic atrophy

H473

Other disorders of optic disc

H474

Disorders of optic chiasm

H475

Disorders of other visual pathways

H476

Disorders of visual cortex

H477

Disorder of visual pathways, unspecified

H480

Optic atrophy in diseases classified elsewhere

H481

Retrobulbar neuritis in diseases classified elsewhere

-183-

Kode

Deskripsi

H488

Other disorder of optic nerve and visual pathways in diseases classified elsewhere

H490

Third [oculomotor] nerve palsy

H491

Fourth [trochlear] nerve palsy

H492

Sixth [abducent] nerve palsy

H493

Total (external) ophthalmoplegia

H494

Progressive external ophthalmoplegia

H498

Other paralytic strabismus

H499

Paralytic strabismus, unspecified

H500

Convergent concomitant strabismus

H501

Divergent concomitant strabismus

H502

Vertical strabismus

H503

Intermittent heterotropia

H504

Other and unspecified heterotropia

H505

Heterophoria

H506

Mechanical strabismus

H508

Other specified strabismus

H509

Strabismus, unspecified

H510

Palsy of conjugate gaze

H511

Convergence insufficiency and excess

H512

Internuclear ophthalmoplegia

H518

Other specified disorders of binocular movement

H519

Disorder of binocular movement, unspecified

H520

Hypermetropia

H521

Myopia

H522

Astigmatism

H523

Anisometropia and aniseikonia

H524

Presbyopia

H525

Disorders of accommodation

H526

Other disorders of refraction

H527

Disorder of refraction, unspecified

H530

Amblyopia ex anopsia

H531

Subjective visual disturbances

H532

Diplopia

H533

Other disorders of binocular vision

H534

Visual field defects

H535

Colour vision deficiencies

H536

Night blindness

H538

Other visual disturbances

H539

Visual disturbance, unspecified

H540

Blindness, both eyes

H541

Blindness, one eye, low vision other eye

H542

Low vision, both eyes

-184-

Kode

Deskripsi

H543

Unqualified visual loss, both eyes

H544

Blindness, one eye

H545

Low vision, one eye

H546

Unqualified visual loss, one eye

H549

Unspecified visual impairment (binocular)

H55

Nystagmus and other irregular eye movements

H570

Anomalies of pupillary function

H571

Ocular pain

H578

Other specified disorders of eye and adnexa

H579

Disorder of eye and adnexa, unspecified

H580

Anomalies of pupillary function in diseases classified elsewhere

H581

Visual disturbances in diseases classified elsewhere

H588

Other specified disorders of eye and adnexa in diseases classified elsewhere

H590

Keratopathy (bullous aphakic) following cataract surgery

H598

Other postprocedural disorders of eye and adnexa

H599

Postprocedural disorder of eye and adnexa, unspecified

P153

Birth injury to eye

P391

Neonatal conjunctivitis and dacryocystitis

Q100

Congenital ptosis

Q101

Congenital ectropion

Q102

Congenital entropion

Q103

Other congenital malformations of eyelid

Q104

Absence and agenesis of lacrimal apparatus

Q105

Congenital stenosis and stricture of lacrimal duct

Q106

Other congenital malformations of lacrimal apparatus

Q107

Congenital malformation of orbit

Q110

Cystic eyeball

Q111

Other anophthalmos

Q112

Microphthalmos

Q113

Macrophthalmos

Q120

Congenital cataract

Q121

Congenital displaced lens

Q122

Coloboma of lens

Q123

Congenital aphakia

Q124

Spherophakia

Q128

Other congenital lens malformations

Q129

Congenital lens malformation, unspecified

Q130

Coloboma of iris

Q131

Absence of iris

Q132

Other congenital malformations of iris

Q133

Congenital corneal opacity

Q134

Other congenital corneal malformations

-185-

Kode

Deskripsi

Q135

Blue sclera

Q138

Other congenital malformations of anterior segment of eye

Q139

Congenital malformation of anterior segment of eye unspecified

Q140

Congenital malformation of vitreous humour

Q141

Congenital malformation of retina

Q142

Congenital malformation of optic disc

Q143

Congenital malformation of choroid

Q148

Other congenital malformations of posterior segment of eye

Q149

Congenital malformation of posterior segment of eye unspecified

Q150

Congenital glaucoma

Q158

Other specified congenital malformations of eye

Q159

Congenital malformation of eye, unspecified

S001

Contusion of eyelid and periocular area

S002

Other superficial injuries of eyelid and periocular area

S011

Open wound of eyelid and periocular area

S023

Fracture of orbital floor

S0230

Fracture of orbital floor, closed

S0231

Fracture of orbital floor, open

S040

Injury of optic nerve and pathways

S050

Injury conjunctiva corneal abras without ment foreign body

S051

Contusion of eyeball and orbital tissues

S052

Ocular lacn and rupture with prolapse or loss intraoc tiss

S053

Ocular lacn without prolapse or loss of intraocular tissue

S054

Penetrating wound of orbit with or without foreign body

S055

Penetrating wound of eyeball with foreign body

S056

Penetrating wound of eyeball without foreign body

S057

Avulsion of eye

S058

Other injuries of eye and orbit

S059

Injury of eye and orbit, unspecified

T150

Foreign body in cornea

T151

Foreign body in conjunctival sac

T158

Foreign body in other and multiple parts of external eye

T159

Foreign body on external eye, part unspecified

T260

Burn of eyelid and periocular area

T261

Burn of cornea and conjunctival sac

T262

Burn with resulting rupture and destruction of eyeball

T263

Burn of other parts of eye and adnexa

T264

Burn of eye and adnexa, part unspecified

T265

Corrosion of eyelid and periocular area

T266

Corrosion of cornea and conjunctival sac

T267

Corrosion with resulting rupture and destruction of eyeball

T268

Corrosion of other parts of eye and adnexa

-186-

Kode

Deskripsi

T269

Corrosion of eye and adnexa, part unspecified

T495

Poisoning, ophthalmological drugs and preparations

T852

Mechanical complication of intraocular lens

T853

Mechanical complication of other ocular prosthetic devices, implants and grafts

T904

Sequelae of injury of eye and orbit

Z010

Examination of eyes and vision

Z080


Z081


Z082


Z087


Z088


Z089


Z090


Z091

Follow-up examination after radiotherapy for oth conditions

Z092

Follow-up examination after chemotherapy for oth conditions

Z097 Z098 Z135 Z442 Z510 Z511 Z512 Z525 Z835

Follow-up exam after combined treatment for other conditions Follow-up exam after other treatment for other conditions Special screening examination for eye and ear disorders Fitting and adjustment of artificial eye Radiotherapy session Chemotherapy session for neoplasm Other chemotherapy Cornea donor Family history of eye and ear disorders

Z947

Corneal transplant status

Z961

Presence of intraocular lens

Z970

Presence of artificial eye

H. RS Khusus Telinga, Hidung, dan Tenggorokan (THT)

Kode

Deskripsi

A186

Tuberculosis of ear

A360

Pharyngeal diphtheria

A361

Nasopharyngeal diphtheria

A362

Laryngeal diphtheria

A545

Gonococcal pharyngitis

A564

Chlamydial infection of pharynx

A665

Gangosa

A690

Necrotizing ulcerative stomatitis

A691

Other vincent's infections

B002

Herpesviral gingivostomatitis and pharyngotonsillitis

B053

Measles complicated by otitis media

-187-

Kode

Deskripsi

B085

Enteroviral vesicular pharyngitis

B370

Candidal stomatitis

B442

Tonsillar aspergillosis

C000

Malignant neoplasm, external upper lip

C001

Malignant neoplasm, external lower lip

C002

Malignant neoplasm, external lip, unspecified

C003

Malignant neoplasm, upper lip, inner aspect

C004

Malignant neoplasm, lower lip, inner aspect

C005

Malignant neoplasm, lip, unspecified, inner aspect

C006

Malignant neoplasm, commissure of lip

C008

Malignant neoplasm, overlapping lesion of lip

C009

Malignant neoplasm, lip, unspecified

C01


C020

Malignant neoplasm, dorsal surface of tongue

C021

Malignant neoplasm, border of tongue

C022

Malignant neoplasm, ventral surface of tongue

C023

Malignant neoplasm, anterior two-thirds of tongue, part unspecified

C024


C028


C029


C030


C031


C039


C040


C041


C048


C049


C050


C051


C052


C058


C059


C060


C061


C062

Malignant neoplasm, retromolar area

C068


C069


C07


C080


C081


C088


C089


C090

Malignant neoplasm, tonsillar fossa

C091

Malignant neoplasm, tonsillar pillar (anterior)(posterior)

C098

Malignant neoplasm, overlapping lesion of tonsil

C099

Malignant neoplasm, tonsil, unspecified

-188-

Kode

Deskripsi

C100

Malignant neoplasm, vallecula

C101

Malignant neoplasm, anterior surface of epiglottis

C102

Malignant neoplasm, lateral wall of oropharynx

C103

Malignant neoplasm, posterior wall of oropharynx

C104

Malignant neoplasm, branchial cleft

C108

Malignant neoplasm, overlapping lesion of oropharynx

C109

Malignant neoplasm, oropharynx, unspecified

C110

Malignant neoplasm, superior wall of nasopharynx

C111

Malignant neoplasm, posterior wall of nasopharynx

C112

Malignant neoplasm, lateral wall of nasopharynx

C113

Malignant neoplasm, anterior wall of nasopharynx

C118

Malignant neoplasm, overlapping lesion of nasopharynx

C119

Malignant neoplasm, nasopharynx, unspecified

C12

Malignant neoplasm of pyriform sinus

C130

Malignant neoplasm, postcricoid region

C131

Malignant neoplasm, aryepiglottic fold, hypopharyngeal aspect

C132

Malignant neoplasm, posterior wall of hypopharynx

C138

Malignant neoplasm, overlapping lesion of hypopharynx

C139

Malignant neoplasm, hypopharynx, unspecified

C140

Malignant neoplasm, pharynx, unspecified

C141

Malignant neoplasm of laryngopharynx

C142

Malignant neoplasm, waldeyer's ring

C148

Malignant neoplasm, overlapping lesion of lip, oral cavity and pharynx

C300

Malignant neoplasm, nasal cavity

C301

Malignant neoplasm, middle ear

C310

Malignant neoplasm, maxillary sinus

C311

Malignant neoplasm, ethmoidal sinus

C312

Malignant neoplasm, frontal sinus

C313

Malignant neoplasm, sphenoidal sinus

C318

Malignant neoplasm, overlapping lesion of accessory sinuses

C319

Malignant neoplasm, accessory sinus, unspecified

C320

Malignant neoplasm, glottis

C321

Malignant neoplasm, supraglottis

C322

Malignant neoplasm, subglottis

C323

Malignant neoplasm, laryngeal cartilage

C328

Malignant neoplasm, overlapping lesion of larynx

C329

Malignant neoplasm, larynx, unspecified

C390

Malignant neoplasm, upper respiratory tract, part unspecified

C462 C490

Kaposi's sarcoma of palate Malignant neoplasm, connective and soft tissue of head, face and neck

C760

Malignant neoplasm, head, face and neck

C860

Extranodal NK/T-cell lymphoma, nasal type

D000

Carcinoma in situ of lip, oral cavity and pharynx

D020 D032

Carcinoma in situ of larynx Melanoma in situ of ear and external auricular canal

D033

Melanoma in situ of other and unspecified parts of face

-189-

Kode D034

Deskripsi Melanoma in situ of scalp and neck

D042

Carcinoma in situ skin of ear and external auricular canal

D043

Carcinoma in situ skin of other and unspecified parts of face

D044

Carcinoma in situ skin of scalp and neck

D101

Benign neoplasm, tongue

D102

Benign neoplasm, floor of mouth

D103

Benign neoplasm, other and unspecified parts of mouth

D104

Benign neoplasm, tonsil

D105

Benign neoplasm, other parts of oropharynx

D106

Benign neoplasm, nasopharynx

D107

Benign neoplasm, hypopharynx

D109

Benign neoplasm, pharynx, unspecified

D110

Benign neoplasm, parotid gland

D117


D119

Benign neoplasm, major salivary gland, unspecified

D140

Benign neoplasm, middle ear, nasal cavity and accessory sinuses

D141

Benign neoplasm, larynx

D165 D170

Benign neoplasm, lower jaw bone Benign lipomatous neopl skin/subcut tis head face & neck

D210


D220

Melanocytic naevi of lip

D222

Melanocytic naevi of ear and external auricular canal

D223

Melanocytic naevi of other and unspecified parts of face

D224

Melanocytic naevi of scalp and neck

D232

Benign neoplasm, skin of ear and external auricular canal

D233

Benign neoplasm, skin of other and unspecified parts of face

D234

Benign neoplasm, skin of scalp and neck

D370

Neoplasm of uncertain or unknown behaviour of lip, oral cavity and pharynx

D380

Neoplasm of uncertain or unknown behaviour of larynx

H600

Abscess of external ear

H601

Cellulitis of external ear

H602

Malignant otitis externa

H603

Other infective otitis externa

H604

Cholesteatoma of external ear

H605

Acute otitis externa, noninfective

H608

Other otitis externa

H609

Otitis externa, unspecified

H610

Perichondritis of external ear

H611

Noninfective disorders of pinna

H612

Impacted cerumen

H613

Acquired stenosis of external ear canal

H618

Other specified disorders of external ear

H619

Disorder of external ear, unspecified

H620

Otitis externa in bacterial diseases classified elsewhere

H621

Otitis externa in viral diseases classified elsewhere

H622

Otitis externa in mycoses classified elsewhere

-190-

Kode

Deskripsi

H623

Otitis externa in other infectious and parasitic diseases classified elsewhere

H624

Otitis externa in other diseases classified elsewhere

H628

Other disorders of external ear in diseases classified elsewhere

H650

Acute serous otitis media

H651

Other acute nonsuppurative otitis media

H652

Chronic serous otitis media

H653

Chronic mucoid otitis media

H654

Other chronic nonsuppurative otitis media

H659

Nonsuppurative otitis media, unspecified

H660

Acute suppurative otitis media

H661

Chronic tubotympanic suppurative otitis media

H662

Chronic atticoantral suppurative otitis media

H663

Other chronic suppurative otitis media

H664

Suppurative otitis media, unspecified

H669

Otitis media, unspecified

H670

Otitis media in bacterial diseases classified elsewhere

H671

Otitis media in viral diseases classified elsewhere

H678

Otitis media in other diseases classified elsewhere

H680

Eustachian salpingitis

H681

Obstruction of Eustachian tube

H690

Patulous Eustachian tube

H698

Other specified disorders of Eustachian tube

H699

Eustachian tube disorder, unspecified

H700

Acute mastoiditis

H701

Chronic mastoiditis

H702

Petrositis

H708

Other mastoiditis and related conditions

H709

Mastoiditis, unspecified

H71

Cholesteatoma of middle ear

H720

Central perforation of tympanic membrane

H721

Attic perforation of tympanic membrane

H722

Other marginal perforations of tympanic membrane

H728

Other perforations of tympanic membrane

H729

Perforation of tympanic membrane, unspecified

H730

Acute myringitis

H731

Chronic myringitis

H738

Other specified disorders of tympanic membrane

H739

Disorder of tympanic membrane, unspecified

H740

Tympanosclerosis

H741

Adhesive middle ear disease

H742

Discontinuity and dislocation of ear ossicles

H743

Other acquired abnormalities of ear ossicles

H744

Polyp of middle ear

H748

Other specified disorders of middle ear and mastoid

H749

Disorder of middle ear and mastoid, unspecified

H750

Mastoiditis in infectious and parasitic diseases classified elsewhere

-191-

Kode

Deskripsi

H758

Other specified disorders of middle ear and mastoid in diseases classified

H800

Otosclerosis involving oval window, nonobliterative

H801

Otosclerosis involving oval window, obliterative

H802

Cochlear otosclerosis

H808

Other otosclerosis

H809

Otosclerosis, unspecified

H810

Meniere's disease

H811

Benign paroxysmal vertigo

H812

Vestibular neuronitis

H813

Other peripheral vertigo

H814

Vertigo of central origin

H818

Other disorders of vestibular function

H819

Disorder of vestibular function, unspecified

H82

Vertiginous syndromes in diseases classified elsewhere

H830

Labyrinthitis

H831

Labyrinthine fistula

H832

Labyrinthine dysfunction

H833

Noise effects on inner ear

H838

Other specified diseases of inner ear

H839

Disease of inner ear, unspecified

H900 H901

Conductive hearing loss, bilateral Conduct hearing loss, unilateral with unrestricted hearing on the contralateral side

H902

Conductive hearing loss, unspecified

H903

Sensorineural hearing loss, bilateral

H904

Sensorineural hear loss unilat unrestricted hearing contralateral side

H905

Sensorineural hearing loss, unspecified

H906 H907

Mixed conductive and sensorineural hearing loss, bilateral Mix conductive and sensorineural hearing loss, unilateral unrestricted hearing on the contralateral side

H908

Mixed conductive and sensorineural hearing loss, unspecified

H910

Ototoxic hearing loss

H911

Presbycusis

H912

Sudden idiopathic hearing loss

H913

Deaf mutism, not elsewhere classified

H918

Other specified hearing loss

H919

Hearing loss, unspecified

H920

Otalgia

H921

Otorrhoea

H922

Otorrhagia

H930

Degenerative and vascular disorders of ear

H931

Tinnitus

H932

Other abnormal auditory perceptions

H933

Disorders of acoustic nerve

H938

Other specified disorders of ear

H939

Disorder of ear, unspecified

H940

Acoustic neuritis in infectious and parasitic diseases classified elsewhere

-192-

Kode

Deskripsi

H948

Other specified disorders of ear in diseases classified elsewhere

H950

Recurrent cholesteatoma of postmastoidectomy cavity

H951

Other disorders following mastoidectomy

H958

Other postprocedural disorders of ear and mastoid process

H959

Postprocedural disorder of ear and mastoid process, unspecified

J00

Acute nasopharyngitis [common cold]

J010

Acute maxillary sinusitis

J011

Acute frontal sinusitis

J012

Acute ethmoidal sinusitis

J013

Acute sphenoidal sinusitis

J014

Acute pansinusitis

J018

Other acute sinusitis

J019

Acute sinusitis, unspecified

J020

Streptococcal pharyngitis

J028

Acute pharyngitis due to other specified organisms

J029

Acute pharyngitis, unspecified

J030

Streptococcal tonsillitis

J038

Acute tonsillitis due to other specified organisms

J039

Acute tonsillitis, unspecified

J040

Acute laryngitis

J042

Acute laryngotracheitis

J050

Acute obstructive laryngitis [croup]

J051

Acute epiglottitis

J060

Acute laryngopharyngitis

J068

Other acute upper respiratory infections of multiple sites

J069

Acute upper respiratory infection, unspecified

J101

Influenza with other respiratory manifestations, other influenza virus identified

J108

Influenza with other manifestations, other influenza virus identified

J111

Influenza with other respiratory manifestations virus not identified

J300

Vasomotor rhinitis

J301

Allergic rhinitis due to pollen

J302

Other seasonal allergic rhinitis

J303

Other allergic rhinitis

J304

Allergic rhinitis, unspecified

J310

Chronic rhinitis

J311

Chronic nasopharyngitis

J312

Chronic pharyngitis

J320

Chronic maxillary sinusitis

J321

Chronic frontal sinusitis

J322

Chronic ethmoidal sinusitis

J323

Chronic sphenoidal sinusitis

J324

Chronic pansinusitis

J328

Other chronic sinusitis

J329

Chronic sinusitis, unspecified

J330

Polyp of nasal cavity

J331

Polypoid sinus degeneration

-193-

Kode

Deskripsi

J338

Other polyp of sinus

J339

Nasal polyp, unspecified

J340

Abscess, furuncle and carbuncle of nose

J341

Cyst and mucocele of nose and nasal sinus

J342

Deviated nasal septum

J343

Hypertrophy of nasal turbinates

J348

Other specified disorders of nose and nasal sinuses

J350

Chronic tonsillitis

J351

Hypertrophy of tonsils

J352

Hypertrophy of adenoids

J353

Hypertrophy of tonsils with hypertrophy of adenoids

J358

Other chronic diseases of tonsils and adenoids

J359

Chronic disease of tonsils and adenoids, unspecified

J36

Peritonsillar abscess

J370

Chronic laryngitis

J371

Chronic laryngotracheitis

J380

Paralysis of vocal cords and larynx

J381

Polyp of vocal cord and larynx

J382

Nodules of vocal cords

J383

Other diseases of vocal cords

J384

Oedema of larynx

J385

Laryngeal spasm

J386

Stenosis of larynx

J387

Other diseases of larynx

J390

Retropharyngeal and parapharyngeal abscess

J391

Other abscess of pharynx

J392

Other diseases of pharynx

J393

Upper respiratory tract hypersensitivity reaction, site unspecified

J398

Other specified diseases of upper respiratory tract

J399

Disease of upper respiratory tract, unspecified

K090

Developmental odontogenic cysts

K091

Developmental (nonodontogenic) cysts of oral region

K092

Other cysts of jaw

K098

Other cysts of oral region, not elsewhere classified

K099

Cyst of oral region, unspecified

K112

Sialoadenitis

K113

Abscess of salivary gland

K114

Fistula of salivary gland

K115

Sialolithiasis

K116

Mucocele of salivary gland

K117

Disturbances of salivary secretion

K118

Other diseases of salivary glands

K119

Disease of salivary gland, unspecified

K120

Recurrent oral aphthae

K121

Other forms of stomatitis

K122

Cellulitis and abscess of mouth

-194-

Kode

Deskripsi

K123

Oral mucositis (ulcerative)

K141

Geographic tongue

M950


M951

Cauliflower ear

Q160

Congenital absence of (ear) auricle

Q161

Congenital absence atresia & stricture auditory canal (external)

Q162

Absence of eustachian tube

Q163

Congenital malformation of ear ossicles

Q164

Other congenital malformations of middle ear

Q165

Congenital malformation of inner ear

Q169

Congenital malform of ear causing impairment of hearing unspecified

Q170

Accessory auricle

Q171

Macrotia

Q172

Microtia

Q173

Other misshapen ear

Q174

Misplaced ear

Q175

Prominent ear

Q178

Other specified congenital malformations of ear

Q179

Congenital malformation of ear, unspecified

Q180

Sinus, fistula and cyst of branchial cleft

Q181

Preauricular sinus and cyst

Q182

Other branchial cleft malformations

Q183

Webbing of neck

Q184

Macrostomia

Q185

Microstomia

Q186

Macrocheilia

Q187

Microcheilia

Q188 Q189

Other specified congenital malformations of face and neck Congenital malformation of face and neck, unspecified

Q300

Choanal atresia

Q301

Agenesis and underdevelopment of nose

Q302

Fissured, notched and cleft nose

Q303

Congenital perforated nasal septum

Q308

Other congenital malformations of nose

Q309

Congenital malformation of nose, unspecified

Q310

Web of larynx

Q311

Congenital subglottic stenosis

Q312

Laryngeal hypoplasia

Q313 Q315

Laryngocele Congenital laryngomalacia

Q318

Other congenital malformations of larynx

Q319

Congenital malformation of larynx, unspecified

Q351

Cleft hard palate

Q353

Cleft soft palate

Q355

Cleft hard palate with cleft soft palate

Q357

Cleft uvula

-195-

Kode

Deskripsi

Q359

Cleft palate, unspecified

Q360

Cleft lip, bilateral

Q361

Cleft lip, median

Q369

Cleft lip, unilateral

Q370

Cleft hard palate with bilateral cleft lip

Q371

Cleft hard palate with unilateral cleft lip

Q372

Cleft soft palate with bilateral cleft lip

Q373

Cleft soft palate with unilateral cleft lip

Q374

Cleft hard and soft palate with bilateral cleft lip

Q375

Cleft hard and soft palate with unilateral cleft lip

Q378

Unspecified cleft palate with bilateral cleft lip

Q379

Unspecified cleft palate with unilateral cleft lip

Q380

Congenital malformations of lips, not elsewhere classified

Q381

Ankyloglossia

Q382

Macroglossia

Q383

Other congenital malformations of tongue

Q384

Congenital malformations of salivary glands and ducts

Q385

Congenital malformations of palate, not elsewhere classified

Q386

Other congenital malformations of mouth

Q387

Pharyngeal pouch

Q388

Other congenital malformations of pharynx

R040

Epistaxis

R041

Haemorrhage from throat

R065

Mouth breathing

R067

Sneezing

R070 R13

Pain in throat Dysphagia

R196 R220

Halitosis Localized swelling, mass and lump, head

R221

Localized swelling, mass and lump, neck

R42

Dizziness and giddiness

R430 R431

Anosmia Parosmia

R432

Parageusia

R438

Other and unspecified disturbances of smell and taste

R470

Dysphasia and aphasia

R471

Dysarthria and anarthria

R478

Other and unspecified speech disturbances

R490

Dysphonia

R491

Aphonia

R492

Hypernasality and hyponasality

R498

Other and unspecified voice disturbances

R682 S003

Dry mouth, unspecified Superficial injury of nose

S004

Superficial injury of ear

S005

Superficial injury of lip and oral cavity

-196-

Kode

Deskripsi

S012

Open wound of nose

S013 S014

Open wound of ear Open wound of cheek and temporomandibular area

S015

Open wound of lip and oral cavity

S022

Fracture of nasal bones

S0220

Fracture of nasal bones, closed

S0221

Fracture of nasal bones, open

S024

Fracture of malar and maxillary bones

S0240

Fracture of malar and maxillary bones, closed

S0241

Fracture of malar and maxillary bones, open

S025

Fracture of tooth

S0250

Fracture of tooth, closed

S0251

Fracture of tooth, open

S026

Fracture of mandible

S0260

Fracture of mandible, closed

S0261

Fracture of mandible, open

S030

Dislocation of jaw

S031

Dislocation of septal cartilage of nose

S045

Injury of facial nerve

S046

Injury of acoustic nerve

S081

Traumatic amputation of ear

S092 S100

Traumatic rupture of ear drum Contusion of throat

S101

Other and unspecified superficial injuries of throat

S107

Multiple superficial injuries of neck

S108

Superficial injury of other parts of neck

S109

Superficial injury of neck, part unspecified

S110

Open wound involving larynx and trachea

S112 S117

Open wound involving pharynx and cervical oesophagus Multiple open wounds of neck

S118

Open wound of other parts of neck

S119

Open wound of neck, part unspecified

S128

Fracture of other parts of neck

S1280

Fracture of other parts of neck, closed

S1281 S144

Fracture of other parts of neck, open Injury of peripheral nerves of neck

S146

Injury of other and unspecified nerves of neck

S157

Injury of multiple blood vessels at neck level

S158

Injury of other blood vessels at neck level

S159

Injury of unspecified blood vessel at neck level

S16

Injury of muscle and tendon at neck level

S170

Crushing injury of larynx and trachea

S178

Crushing injury of other parts of neck

S179 S198

Crushing injury of neck, part unspecified Other specified injuries of neck

S199

Unspecified injury of neck

-197-

Kode

Deskripsi

T16

Foreign body in ear

T170

Foreign body in nasal sinus

T171

Foreign body in nostril

T172

Foreign body in pharynx

T173

Foreign body in larynx

T180

Foreign body in mouth

T280

Burn of mouth and pharynx

T285

Corrosion of mouth and pharynx

T700

Otitic barotrauma

T701

Sinus barotrauma

T752

Effects of vibration

T753

Motion sickness

Z011

Examination of ears and hearing

Z031


Z081


Z082


Z087


Z088


Z089


Z090


Z091

Follow-up examination after radiotherapy for other conditions

Z092


Z094

Follow-up examination after treatment of fracture

Z097

Follow-up exam after combined treatment for other conditions

Z098


Z115

Special screening examination for other viral diseases

Z128


Z129

Special screening examination for neoplasm, unspecified

Z135 Z137

Special screening examination for eye and ear disorders Special screening examination for congenital malformations, deformations and chromosomal abnormalities

Z222

Carrier of diphtheria

Z400

Prophylactic surgery for risk-factors related to malignant neoplasms

Z408

Other prophylactic surgery

Z409

Prophylactic surgery, unspecified

Z430

Attention to tracheostomy

Z453

Adjustment and management of implanted hearing device

Z461

Fitting and adjustment of hearing aid

Z510

Radiotherapy session

Z511

Chemotherapy session for neoplasm

Z512

Other chemotherapy

Z516

Desensitization to allergens

Z540

Convalescence following surgery

Z541

Convalescence following radiotherapy

Z542

Convalescence following chemotherapy

Z801


-198-

Kode Z822 Z827

Family history of deafness and hearing loss Family history of congenital malformations, deformation and chromosomal abnorms

Z835

Family history of eye and ear disorders

Z851

Personal history of malignant neoplasm of trachea, bronchus and lung Personal history of congenital malformations, deformations and chromosomal abnomalities

Z877

I.

Deskripsi

RS Khusus Gigi dan Mulut Kode A690

Deskripsi Necrotizing ulcerative stomatitis

A691

Other vincent's infections

B002

Herpesviral gingivostomatitis and pharyngotonsillitis

B370

Candidal stomatitis

C000

Malignant neoplasm of external upper lip

C001

Malignant neoplasm of external lower lip

C002

Malignant neoplasm of external lip, unspecified

C003

Malignant neoplasm of upper lip, inner aspect

C004

Malignant neoplasm of lower lip, inner aspect

C005

Malignant neoplasm of lip, unspecified, inner aspect

C006

Malignant neoplasm of commissure of lip

C008

Malignant neoplasm of overlapping lesion of lip

C009

Malignant neoplasm of lip

C01


C020

Malignant neoplasm of dorsal surface of tongue

C021

Malignant neoplasm of border of tongue

C022

Malignant neoplasm of ventral surface of tongue

C023

Malignant neoplasm of anterior two-thirds of tongue, part unspecified

C024


C028


C029


C030


C031


C039


C040


C041


C048


C049


C050


C051


C052


C058


C059


C060


C061


-199-

Kode C062

Deskripsi Malignant neoplasm, retromolar area

C068


C069


C07


C080


C081


C088


C089


D000

Carcinoma in situ lip, oral cavity and pharynx

D100

Benign neoplasm of lip

D101

Benign neoplasm of tongue

D102

Benign neoplasm of floor of mouth

D103

Benign neoplasm other and unspecified parts of mouth

D117


D119

Benign neoplasm, major salivay gland, unspecified

D164

Benign neoplasm of bones of skull and face

D165

Benign of neoplasm of lower jaw bone

D370

Neoplasm unc/unk, lip, oral cavity and pharynx

K000

Anodontia

K001

Supernumerary teeth

K002

Abnormalities of size and form of teeth

K003

Mottled teeth

K004

Disturbances in tooth formation

K005

Hereditary disturbances in tooth structure, not elsewhere classified

K006

Disturbances in tooth eruption

K007

Teething syndrome

K008

Other disorders of tooth development

K009

Disorder of tooth development, unspecified

K010

Embedded teeth

K011

Impacted teeth

K020

Caries limited to enamel

K021

Caries of dentine

K022

Caries of cementum

K023

Arrested dental caries

K024

Odontoclasia

K028

Other dental caries

K029

Dental caries, unspecified

K030

Excessive attrition of teeth

K031

Abrasion of teeth

K032

Erosion of teeth

K033

Pathological resorption of teeth

K034

Hypercementosis

K035

Ankylosis of teeth

K036

Deposits [accretions] of teeth

K037

Posteruptive colour changes of dental hard tissues

K038

Other specified diseases of hard tissues of teeth

-200-

Kode K039

Deskripsi Disease of hard tissues of teeth, unspecified

K040

Pulpitis

K041

Necrosis of pulp

K042

Pulp degeneration

K043

Abnormal hard tissue formation in pulp

K044

Acute apical periodontitis of pulpal origin

K045

Chronic apical periodontitis

K046

Periapical abscess with sinus

K047

Periapical abscess without sinus

K048

Radicular cyst

K049

Other and unspecified diseases of pulp and periapical tissues

K050

Acute gingivitis

K051

Chronic gingivitis

K052

Acute periodontitis

K053

Chronic periodontitis

K054

Periodontosis

K055

Other periodontal diseases

K056

Periodontal diseases

K060

Gingival recession

K061

Gingival enlargement

K062

Gingival and edentulous alveolar ridgelesions associated with trauma

K068

Other specified disorders of gingiva and edentulous alveolar ridge

K069

Disorder of gingiva and edentulous alveolar ridge, unspecified

K070

Major anomalies of jaw size

K071

Anomalies of jaw-cranial base relationship

K072

Anomalies of dental arch relationship

K073

Anomalies of tooth position

K074

Malocclusion, unspecified

K075

Dentofacial functional abnormalities

K076

Temporomandibular joint disorders

K078

Other dentofacial anomalies

K079

Dentofacial anomaly, unspecified

K080

Exfolation of teeth due to systemic causes

K081

Loss of teeth due to accident, extraction or local periodontal disease

K082

Atrophy of edentulous alveolar ridge

K083

retained dental root

K088

Other specified disorders of teeth and supporting structures

K089

Disorder of teeth and supporting structures, unspecified

K090

Development odontogenic cysts

K091

Developmental (nonodontogenic) cysts of oral region

K092

Other cysts of jaw

K098

Other cysts of oral region, not elsewhere classified

K099

Cyst of oral region, unspecified

K100

Developmental disorders of jaws

K101

Giant cell granuloma, central

K102

Inflammatory conditions of jaws

-201-

Kode K103

Deskripsi Alveolitis of jaws

K108

Other specified diseases of jaws

K109

Disease of jaws, unspecified

K110

Atrophy of salivary gland

K111

Hypertrophy of salivary gland

K112

Sialoadenitis

K113

Abscess of salivary gland

K114

Fistula of salivary gland

K115

Sialolithiasis

K116

Mucocele of salivary gland

K117

Disturbances of salivary secretion

K118

Other diseases of salivary glands

K119

Disease of salivary gland, unspecified

K120

Recurent oral aphthae

K121

Other form of stomatitis

K122

Cellulitis and abscess of mouth

K123

Oral mucositis (ulcerative)

K130

Disease of lips

K131

Cheek and lip biting

K132

Leukoplakia and other disturbances of oral epithelium, including tongue

K133

Hairy leukoplakia

K134

Granuloma and granuloma-like lesions of oral mucosa

K135

Oral submucous fibrosis

K136

Irritative hyperplasia of oral mucosa

K137

Other and unspecified lesions of oral mucosa

K140

Glossitis

k141

Geographic tongue

K142

Median rhomboid glossitis

K143

Hypertrophy of tongue papillae

K144

Atrophy of tongue papillae

K145

Plicated tongue

K146

Glossodynia

K148

Other diseases of tongue

K149

Disease of tongue, unspecified

Q382

Macroglossia

Q383

Other congenital malformations of tongue

Q384

Congenital malformations of salivary glands and ducts

R065

Mouth breathing

R196 R682

Halitosis

S030

Dislocation of jaw

S032

Dislocation of tooth

S034

Sprain and strain of jaw

T180

Foreign body in mouth

T280

Burn of mouth and pharynx

T285

Corrosion of mouth and pharynx

dry mouth, unspecified

-202-

Kode Z012

Deskripsi Dental examination

Z090


Z128


Z138

Special screening examination for other specified diseases and disorders

Z463

Fitting and adjustment of dental prosthetic device

Z464

Fitting and adjustment of orthodontic device

Z808

Family history of malignant neoplasm of other organs or systems

Z965

Presence of tooth-root and mandibular implants

-203-

PERANGKAT WHO DAS (LEMBAR PENILAIAN WHO DAS 2.0)

Versi 12 Pertanyaan, Dilakukan oleh pewawancara Pendahuluan Instrumen ini dikembangkan oleh Tim Klasifikasi, Terminologi, dan standar WHO dibawah The WHO/National Institutes of Health (NIH) Joint Project on Assesment of Classification of Disability. Sebelum menggunakan instrumen ini pewawancara harus dilatih menggunakan manual Measuring Health and Disability. Manual untuk WHO DAS 2.0 (WHO, 2010), termasuk didalamnya petunjuk interview dan bahan training lainnya. Versi wawancara yang tersedia adalah sebagai berikut :  36 – item - dilakukan oleh pewawancaraa  36 – item – dilakukan oleh diri sendiri (pasien)  36 – item - dilakukan oleh pihak ketiga (keluarga pasien)b  12 – item - dilakukan oleh pewawancarac  12 – item - dilakukan oleh diri sendiri (pasien)  12 – item - dilakukan oleh pihak ketiga (keluarga pasien)  12 + 24 – item - dilakukan oleh pewawancara a. b. c.

Versi komputerisasi dari wawancara (iShell) tersedia untuk wawancara yang dipandu komputer atau untuk entry data Keluarga, teman, atau perawat Versi 12 pertanyaan menggambarkan 81% varian dari versi 36 pertanyaan yang lebih detail

Untuk mendapatkan versi yang lebih detail silahkan merujuk ke WHO DAS 2.0 manual Measuring Health and Disability : Manual For WHO Disability Assesment Schedule – WHO DAS 2.0 (WHO,2010) Ijin untuk translasi instrumen ini ke bahasa yang lain harus diberikan dari WHO, dan semua translasi harus mengacu pada The WHO Translation guideline. Untuk informasi lebih lanjut kunjungi www.who.int/whodas

-204-

Kuisioner ini terdiri dari 12 pertanyaan WHO DAS 2.0 yang dilakukan pewawancara. Instruksi untuk pewawancara adalah yang ditulis tebal dan miring, jangan dibacakan keras. Text untuk ditanyakan kepada responden adalah yang tertulis dengan tinta biru. Baca dengan jelas. Bagian 1. Lembar Awal Lengkapi butir F1 – F5 sebelum memulai interview F 1

Nomor Identitas responden

F 2

Nomor Identitas pewawancara

F 3

Titik waktu penilaian

F 4

Waktu wawancara

F 5

Situasi hidup saat wawancara (lingkari salah satu)

1. Hari ke-43 2. Hari ke-104 Tanggal :

Bulan :

Tahun :

Mandiri di komunitas

1

Hidup dengan bantuan (fisik, keuangan atau sosial)

2

Dirawat di rumah sakit

3

Bagian 2. Informasi tentang demografi dan latar belakang. Wawancara ini dikembangkan oleh WHO untuk memahami dengan lebih baik tentang kesulitan yang mungkin dimiliki seseorang sehubungan dengan kondisi kesehatannya. Informasi yang anda berikan pada interview ini bersifat rahasia dan hanya akan digunakan untuk pemeriksaan. Wawancara berlangsung selama 5-10 menit.

-205Untuk responden dari populasi umum (bukan populasi klinis) sampaikan bahwa : Bahkan jika kamu sehat dan tidak mempunyai masalah kesehatan, saya ingin mengajukan pertanyaan-pertanyaan untuk melengkapi survei. Saya akan memulai dengan pertanyaan latar belakang. A 1

Mencatat jenis kelamin berdasarkan pengamatan

Laki-laki

1

perempuan

2

A 2

Berapa usia anda saat ini ?

...................tahun

A 3

Berapa tahun menempuh pendidikan ? (sejak SD sampai pendidikan terakhir)

…………….tahun

A 4

Apa status perkawinan anda saat ini ? (Pilih salah satu yang paling tepat)

A 5

Apa pekerjaan utama anda saat ini ? (Pilih salah satu yang paling tepat)

Belum Kawin

1

Kawin

2

Berpisah

3

Cerai hidup

4

Cerai mati

5

Hidup bersama tanpa ikatan resmi

6

Karyawan

1

Wiraswasta

2

Pekerja sukarela

3

Pelajar

4

Ibu Rumah Tangga

5

Pensiunan

6

Tidak bekerja (alasan kesehatan)

7

Tidak bekerja (alasan lain)

8

Lain-lain…………….

9

-206Bagian 3. Pembukaan Sampaikan kepada responden: Wawancara ini adalah tentang kesulitan yang dialami seseorang akibat masalah kesehatannya. Tunjukkan Kartu Petunjuk Pertama kepada responden Yang dimaksud masalah kesehatan adalah penyakit atau masalah kesehatan lain yang dapat berlangsung jangka pendek atau panjang; cedera; masalah kejiwaan atau emosional; dan masalah dengan alkohol atau zat psikoaktif. Ingatlah untuk memikirkan semua masalah kesehatan saat Anda menjawab pertanyaan. Bila saya bertanya tentang kesulitan dalam melakukan aktivitas, pikirkan… Tunjuk ke Kartu Petunjuk Pertama • • • •

perlu usaha lebih besar ketidaknyamanan atau rasa nyeri melambat perubahan dalam melakukan aktivitas

Saat menjawab, saya minta Anda untuk memikirkan kembali dalam jangka waktu 30 hari terakhir. Saya juga minta Anda untuk menjawab pertanyaan tersebut dengan memikirkan tentang seberapa besar rata-rata kesulitan yang Anda alami saat melakukan aktivitas yang biasa Anda lakukan selama 30 hari terakhir. Tunjukkan kartu petunjuk kedua kepada responden Gunakan skala ini saat menjawab Bacakan skala dengan suara jelas : Tidak ada, ringan, sedang, berat, sangat berat atau tidak mampu melakukan. Pastikan bahwa responden dapat dengan mudah melihat Kartu Petunjuk Pertama dan Kedua selama wawancara.

-207-

Bagian 4 Pertanyaan Inti Tunjukkan Kartu Petunjuk Kedua Dalam 30 hari terakhir, berapa Sangat berat besar kesulitan yang anda alami Tidak Ringan Sedang Berat atau tidak ada dalam : mampu Berdiri untuk jangka waktu S1 lama misalnya 30 menit?

1

2

3

4

5

Melakukan pekerjaan S2 rumah?

1

2

3

4

5

Mempelajari hal baru, S3 misalnya pergi ke tempat baru?

1

2

3

4

5

Apakah anda mengalami kesulitan bergabung dalam aktivitas di masyarakat? S4 (Contohnya kegiatan keagamaan, perayaan) seperti halnya yang dilakukan orang lain?

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

S8 Mandi

1

2

3

4

5

S9 Berpakaian

1

2

3

4

5

Sejauh mana kondisi S5 kesehatan anda mempengaruhi anda secara emosional? Berkonsentrasi dalam S6 melakukan sesuatu selama 10 menit? untuk berjalan dalam jarak S7 yang jauh, misalnya 1 kilometer?

S10

Berhubungan dengan orang baru yang belum dikenal

1

2

3

4

5

S11

Mempertahankan pertemanan

1

2

3

4

5

S12

Kembali bekerja atau bersekolah

1

2

3

4

5

-208-

…lanjutan Bagian 4 Pertanyaan Inti

H1

Secara keseluruhan, dalam 30 hari Tuliskan jumlah harinya ini, secara keseluruhan, ada berapa hari anda mengalami kesulitan _____ tersebut?

H2

Dalam 30 hari terakhir, selama berapa hari anda sama sekali tidak mampu melakukan aktifitas atau pekerjaan seperti biasa karena ada masalah kesehatan?

H3

Dalam 30 hari terakhir, dengan tidak memperhitungkan hari Tuliskan jumlah harinya dimana anda sama sekali tidak mampu, berapa hari anda harus _____ mengurangi aktifitas atau pekerjaan yang biasa dilakukan karena

Tuliskan jumlah harinya _____

..............., ................................. Dokter Penanggung Jawab

________________________________ NIP. ..........................................

-209-

Kartu Petunjuk Pertama

Kondisi Kesehatan terdiri dari : • penyakit, keluhan atau masalah kesehatan lainnya • cedera • masalah psikis atau emosi • masalah dengan alkohol • masalah dengan obat-obatan Kesulitan dalam melakukan aktivitas, artinya : • perlu usaha lebih besar • ketidaknyamanan atau rasa nyeri • melambat • perubahan dalam melakukan aktivitas Pikirkan hanya 30 hari terakhir.

Kartu Petunjuk Kedua

1

2

3

Tidak ada

Ringan

Sedang

4

Berat

5

Sangat berat atau tidak mampu melakukan

-210Panduan Pengisian Lembar Penilaian WHO DAS 2.0 1. WHO-DAS disabilitas.

adalah

instrumen

Instrumen

ini

yang

digunakan

dikembangkan

oleh

untuk

mengukur

Tim

Klasifikasi,

Terminologi, dan standar WHO dibawah The WHO/National Institutes of Health (NIH) Joint Project on Assesment of Classification of Disability. 2. Dalam konteks INA CBG : • Versi yang digunakan adalah versi 2.0, yang mengandung 12 (duabelas) variabel penilaian (s1 - s12) dengan skala penilaian 1 (satu) sampai dengan 5 (lima), sehingga total skor 60 (enampuluh) • Tidak digunakan sebagai dasar untuk pemulangan pasien tetapi sebagai dasar untuk menghitung Resource Intensity Weight (RIW) pada fase subakut dan kronik bagi pasien psikiatri dan kusta • Penilaian/assessment dilaksanakan pada awal fase sub akut (hari ke43) dan awal fase kronik (hari ke-104) yang dihitung sejak hari pertama pasien masuk • Penilaian dilakukan dengan metode wawancara langsung (interview) dan/atau observasi oleh psikiater atau dokter ahli lainnya, dokter umum, maupun perawat yang terlatih • Lembar penilaian ditandatangani oleh Dokter Penanggung Jawab Pelayanan (DPJP) dengan mencantumkan nama jelas. 3. Salinan lembar hasil skoring WHO-DAS yang telah ditandatangani oleh DPJP dilampirkan sebagai bahan pendukung pengajuan klaim. 4. Petugas administrasi klaim atau koder melakukan input hasil skoring WHO-DAS berupa angka penilaian awal masuk pada periode sub akut atau kronik ke dalam software INA-CBG pada kolom ADL, selanjutnya software akan melakukan penghitungan tarif secara otomatis. 5. Apabila terjadi permasalahan dalam pengisian hasil skoring WHO-DAS, rumah sakit dapat menghubungi NCC dengan kontak person : a. dr. IDG Basudewa,Sp.KJ (0813 38111750) b. dr. Puji Triastuti, MARS (0812 9376589)

-211Petunjuk Teknis Penggunaan Skoring ADL menggunakan WHO DAS 2.0 1. Pewawancara menyiapkan dokumen dari Kartu Petunjuk Pertama dan Kartu Petunjuk Kedua serta dokumen bagian 1, 2, 4 2. Pewawancara mengisi bagian 1 dan 2 dari Lembar Penilaian WHO-DAS 3. Pewawancara memulai pertanyaan dengan memperkenalkan diri kepada pasien 4. Pewawancara menjelaskan tujuan dilakukannya wawancara yaitu menilai kesulitan yang dialami oleh pasien dikarenakan kondisi kesehatannya 5. Pewawancara menjelaskan kondisi kesehatan yang dimaksud dan pengertian kesulitan dalam aktivitas dengan memperlihatkan Kartu Petunjuk Pertama kepada pasien atau responden. Kondisi Kesehatan terdiri dari : • penyakit, keluhan atau masalah kesehatan lainnya • cedera • masalah psikis atau emosi • masalah dengan alkohol • masalah dengan obat-obatan Kesulitan dalam melakukan aktivitas, artinya : • perlu usaha lebih besar • ketidaknyamanan atau rasa nyeri • melambat • perubahan dalam melakukan aktivitas 6. Pewawancara meminta pasien untuk mempergunakan skala yang terlihat pada Kartu Petunjuk Kedua untuk membantu menjawab pertanyaan, misalnya

dengan

menunjukkan

salah

satu

angka/nilai.

Saat

menunjukkan Kartu Petunjuk, pewawancara menjelaskan makna skala dari kartu pertunjuk tersebut kepada pasien.

-212-

7. Pada bagian 1, nomor identitas responden diisi nama lengkap dan nomor rekam medik pasien, sedangkan nomor identitas pewawancara diisi nama pewawancara dan nama ruangan. 8. Pewawancara melakukan penilaian pada bagian 4 dengan panduan sebagai berikut: a. Pewawancara menanyakan langsung masing-masing item pertanyaan b. Bila

pasien

tidak

dapat

menjawab

langsung

pertanyaan

dari

pewawancara, maka pewawancara menilai langsung kondisi pasien melalui pengamatan yang dilakukan c. Dalam kondisi dimana poin b diatas tidak bisa dilakukan langsung oleh pewawancara, maka penilaian pasien didapatkan dengan menanyakan kepada perawat yang berinteraksi dengan pasien minimal selama 30 hari sebelumnya 9. Pengisian bagian 4: Menjelaskan kemampuan mobilitas pasien secara fisik (apabila S1 pasien tidak mampu berdiri diam selama 30 menit/kurang akibat masalah mental maka diberikan skor 1/none) Dalam setting RS, dokter akan menilai kondisi seandainya S2 pasien dipandang mampu melakukan kegiatan sehari-hari di rumah Dalam setting RS, dinilai berhasil apabila pasien mampu S3 melakukan tugas baru yang sebelumnya belum pernah dilakukan seperti misalnya shalat di mushala, pergi ke kantin Dalam setting RS, dokter akan menilai kondisi seandainya S4 pasien dipandang mampu melakukan kegiatan di suatu komunitas S5 Sudah jelas Penilaian dilakukan dengan observasi atau menanyakan S6 kepada perawat Penilaian dilakukan dengan observasi atau menanyakan S7 kepada perawat S8 Sudah jelas S9 Sudah jelas S10 Sudah jelas S11 Sudah jelas Dalam setting RS, dokter akan menilai kondisi seandainya S12 pasien dipandang mampu kembali bekerja atau sekolah

-213-

H1 H2 H3

Berapa hari pasien mengalami kesulitan dalam aktivitasnya selama kurun waktu 30 hari terakhir Berapa hari pasien tidak bisa sama sekali melakukan aktivitas yang biasa dikerjakan, selama kurun waktu 30 hari terakhir Berapa hari pasien harus mengurangi aktivitas yang biasa dikerjakan disebabkan kondisi kesehatannya, selama kurun waktu 30 hari terakhir

Catatan : Jumlah hari H2 ditambah H3, tidak melebihi H1

PMK No 76 ttg Pedoman INA CBG Dalam

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